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Organization

DAVID M NELSON MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID M NELSON MD (PRESIDENT)
(805) 563-3011
Entity
Organization

Contact information

Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2290
Mailing address
PO BOX 8488, PHILADELPHIA, PA 19101-8488
(805) 563-3011

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05890402
HI
Enumeration date
02/22/2008
Last updated
04/13/2009
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