STEVEN L NELSON

POCATELLO, ID
NPI1659689362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-860)
Enumeration Date2010-09-15
Last Update Date2010-09-15
Business Address
-- STEVEN L NELSON PA-C
560 MEMORIAL DR
POCATELLO, ID 83201-4073
Phone number: 208-234-1960
Mailing Address
-- STEVEN L NELSON PA-C
560 MEMORIAL DR
POCATELLO, ID 83201-4073
Phone number: 208-234-1960