Nelson Spine Institute, Inc.

NPI #1639241615 in Thousand Oaks, California

Provider Information

NPI Number: 1639241615
Entity Type: Organization
Organization Name: Nelson Spine Institute, Inc.
Primary Specialty: Specialist
Enumeration Date: Nov 14, 2006
Last Updated: Dec 21, 2017

Practice Location

Address: 250 LOMBARD ST STE 1
City: Thousand Oaks
State: California
ZIP Code: 91360-8208
Phone: (805) 370-0748

Authorized Official

Name: DR. RUSSELL W. NELSON, M.D.
Title: PRESIDENT
Phone: (805) 370-0748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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