| Doctor Name: | DR. RUTH GRETCHEN NELSON |
| NPI Number: | 1366574063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 08303 |
| Business Practice Address: | Campus Health Service University Of Arizona 210095 Tucson, AZ - 857210095 |
| Business Phone Number: | 5206216489 |
| Business Fax Number: | 5206218412 |
| Mailing Address: | 620 N Venice Ave, TUCSON |
| State: | AZ |
| Postal Code: | 857117014 |
| Phone Number: | 5203259505 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 08303 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |