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NPI Code Detail

MEDICARE: MR. AARON M. NELSON MS, ATC-L, PES

MEDICARE:  MR. AARON M. NELSON  MS, ATC-L, PES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist0028AZ

General Provider Information

NPI Number : 1134192503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON M. NELSON MS, ATC-L, PES
Provider Business Mailing Address
First Line : 3661 S TOWER AVE
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-2673
Country : US
Telephone Number : 480-659-7101
Fax Number : 602-379-7549
Provider Business Practice Location Address
First Line : 201 E JEFFERSON ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2412
Country : US
Telephone Number : 602-379-7968
Fax Number : 602-379-7549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/08/2007

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Directions to “ MR. AARON M. NELSON MS, ATC-L, PES” Practice Location

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