Organization
DIABLO NEUROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN NELSON M.D. (PRESIDENT)
(925) 299-9022
Entity
Organization
Contact information
Practice address
585 W LOOKOUT RIDGE DR, WASHOUGAL, WA 98671-7595
(925) 299-9022
(925) 299-9024
Mailing address
585 W LOOKOUT RIDGE DR, WASHOUGAL, WA 98671-7595
(925) 299-9022
(925) 299-9024
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
00039405
WA
Other
Enumeration date
08/24/2010
Last updated
09/02/2015
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