Doctor Name: | DR. SARA CHRISTINE NELSON |
NPI Number: | 1083825913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A96957 |
Business Practice Address: | Department Of Anesthesia 34800 Bob Wilson Drive San Diego, CA - 921340001 |
Business Phone Number: | 6195328960 |
Business Fax Number: | |
Mailing Address: | Department Of Anesthesia, 34800 Bob Wilson Drive SAN DIEGO |
State: | CA |
Postal Code: | 921340001 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A96957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |