Larry R Nelson M.d. INC P.s.

NPI #1568653152 in Centralia, Washington

Provider Information

NPI Number: 1568653152
Entity Type: Organization
Organization Name: Larry R Nelson M.d. INC P.s.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 1800 COOKS HILL RD
City: Centralia
State: Washington
ZIP Code: 98531-9068
Phone: (360) 736-0713

Authorized Official

Name: DR. LARRY R NELSON
Title: DOCTOR
Phone: (360) 736-0713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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