CAMERON LEWIS NELSON

POCATELLO, ID
NPI1932488053
Professional NameCAMERON LEWIS NELSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1556)
Additional Taxonomies363A00000X Physician Assistant
(Licence: ID  PA-1556)
Enumeration Date2011-08-07
Last Update Date2025-06-16
Business Address
CAMERON LEWIS NELSON
1553 E CENTER ST
POCATELLO, ID 83201-4135
Phone number: 208-233-9355
Mailing Address
CAMERON LEWIS NELSON
98 POPLAR ST
BLACKFOOT, ID 83221-1799
Phone number: 208-785-4100