Organization
GINA NELSON M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA NELSON M.D. (OWNER/ OBSTETRICIAN GYNECOLOGIST)
(406) 755-6550
Entity
Organization
Contact information
Practice address
1297 BURNS WAY, SUITE 2, KALISPELL, MT 59901-3128
(406) 755-6550
(406) 755-6563
Mailing address
1297 BURNS WAY, SUITE 2, KALISPELL, MT 59901-3128
(406) 755-6563
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7570
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104338
—
MT
Enumeration date
11/16/2011
Last updated
07/01/2021
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