THAO T NELSON

ALLIANCE MEDICAL GROUP LLC

Dr THAO T NELSON is a female medical professional, specializing in Physician Assistant. She graduated in 2011.

Contact

ALLIANCE MEDICAL GROUP LLC

435 S EAGLE RD
EAGLE
ID
836166067

Tel: 2089398222

THAO T NELSON Information

Npi 1093084931
Pac Id 1759539729
Professional Enrollment Id I20160826002230
Last Name NELSON
First Name THAO
Middle Name T
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALLIANCE MEDICAL GROUP LLC
Group Practice Pac Id 3971544685
Number Of Group Practice Members 103
Line 1 Street Address 435 S EAGLE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836166067
Phone Number 2089398222
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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