Individual
JOHN EDWARD NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 CALLE DE VEGA, LAS VEGAS, NV 89102-4012
(708) 642-6827
Mailing address
1800 CALLE DE VEGA, LAS VEGAS, NV 89102-4012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01054217A
IN
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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