CHASE K NELSON

RUPERT, ID
NPI1023493566
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery
(Licence: OK  6034)
Enumeration Date2015-07-27
Last Update Date2020-11-19
Business Address
CHASE K NELSON D.O.
1308 8TH ST STE 1
RUPERT, ID 83350-1535
Phone number: 208-434-8420
Mailing Address
CHASE K NELSON D.O.
1308 8TH ST STE 1
RUPERT, ID 83350-1535
Phone number: 208-434-8420