Individual
DR. JOHN PATRICK NELLIGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 GUZZI LN STE 102, SONORA, CA 95370-5288
(209) 536-5780
(209) 588-2760
Mailing address
680 GUZZI LN STE 102, SONORA, CA 95370-5288
(209) 536-5780
(209) 588-2760
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G52634
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD60171766
WA
Other
Enumeration date
10/16/2006
Last updated
09/12/2013
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