ROBERT - NELSON , MD in ROSWELL - NPI - 1356336382
ROBERT NELSON is a dentist based out of ROSWELL,New Mexico ROBERT practices in ROSWELL,New Mexico and has the professional credentials of MD .The NPI Number for ROBERT NELSON is 1356336382 and he holds a Licence No. MD00029981(New Mexico).
ROBERT current practice location address is 405 W COUNTRY CLUB RD,C/O MSO ADMINISTRATION,ROSWELL,New Mexico and he can be reached out via phone at 5756227593 and via fax at5756225538. You can also correspond with ROBERT NELSON through mail at his mailing address at350 W COUNTRY CLUB RD,SUITE #205,ROSWELL,New Mexico – 882015205 (mailing address contact number – 882015209).
Provider Profile Details
| NPI Number | 1356336382 |
| Provider Name | ROBERT NELSON |
| MD | |
| Gender | 41340 |
| Provider Entity Type | Individual |
| Provider Enumeration Date | 208800000X |
| Last Update Date | 38610 |
Provider Business Mailing Address Details
| Address | 405 W COUNTRY CLUB RD,C/O MSO ADMINISTRATION |
| City | ROSWELL |
| State | New Mexico |
| Zip | 882015209 |
| Phone Number | 5756227593 |
Provider Business Practice Location Address Details
| Address | 350 W COUNTRY CLUB RD,SUITE #205 |
| City | ROSWELL |
| State | New Mexico |
| Zip | 882015205 |
| Phone Number | 5756227593 |
Provider's Primary Taxonomy Details
| Taxonomy | 208800000X |
| License No. | MD00029981 |
| State | New Mexico |