Individual
MR. MITCHELL PAUL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED.; A.T.
Contact information
Practice address
1500 E 15TH ST, DOUGLAS, AZ 85607-1731
(520) 364-2447
(520) 805-9485
Mailing address
1704 N J AVE, DOUGLAS, AZ 85607-1334
(520) 364-2447
(520) 805-9485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0649
AZ
Other
Enumeration date
04/03/2006
Last updated
07/21/2011
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