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Russell William Nelson, MD
Specialist in Thousand Oaks, California
NPI 1780620856

Russell William Nelson is a Specialist based in Thousand Oaks, CA. Russell William Nelson practices in Thousand Oaks, CA and has the professional credentials of MD. The NPI Number for Russell William Nelson is 1780620856 and holds a License No. G38011 (California).

The current practice location address for Russell William Nelson is 250 Lombard St Ste 1, Thousand Oaks, CA and can be reached out via phone at 805-370-0748 and via fax at 978-244-8700.

Location: 250 Lombard St Ste 1, Thousand Oaks, CA, 91359-1679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780620856
Provider Name
Russell William Nelson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 Lombard St Ste 1, Thousand Oaks, CA, 91359-1679
Phone Number
805-370-0748
Fax Number
978-244-8700
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
250 Lombard St Ste 1
City
Thousand Oaks
State
California
Zip
91360-8208
Phone Number
805-370-0748
Fax Number
978-244-8700
person
Provider Business Mailing Address Details
Address
250 Lombard St Ste 1
City
Thousand Oaks
State
California
Zip
91360-8208
Phone Number
805-370-0748
Fax Number
978-244-8700
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G38011 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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