Individual
MARK ALAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
436 5TH AVE, MEDICAL SERVICES, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752
(907) 442-7148
Mailing address
7934 NATIVE DANCER TRL, EVERGREEN, CO 80439-6470
(720) 987-7481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
119037
AK
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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