Loren Douglas Nelson MD

NPI 1053376889 - Surgery - 2086S0102X

NPI Details
NPI 1053376889
Gender Male
Enumeration Date 04/17/2006
Last Updated 04/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
445 FLAT CREEK DR # 3999
JACKSON WY, 83001-9173, US
Phone (305) 542-9038
Business Location
PO BOX 3999
JACKSON WY, 83001-3999, US
Phone (305) 542-9038
Taxonomy Code 2086S0102X
License State Florida
License Number ME69015
Remove 1053376889 NPI Number

According to our database, Dr. Loren Douglas Nelson MD NPI is 1053376889, taxonomy code is 2086S0102X and license number is ME69015, license state is located at Florida. Loren Douglas Nelson MD physically located at 445 Flat Creek Dr # 3999, Jackson WY, 83001-9173. NPI Number Loren Douglas Nelson MD has the Individual type.

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1053376889 NPI number is provided on an as is basis without warranty of any kind. 1053376889 is maintained by the National Plan & Provider Enumeration System. The contents of Loren Douglas Nelson MD are for informational purposes only.