Mark Alan Nelson, P.A.

NPI #1962940304 in Kotzebue, Alaska

Provider Information

NPI Number: 1962940304
Entity Type: Individual
Name: Mark Alan Nelson, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 436 5TH AVE
Address 2: MEDICAL SERVICES, MANIILAQ HEALTH CENTER
City: Kotzebue
State: Alaska
ZIP Code: 99752
Phone: (907) 442-7148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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