Peter Richard Nelson
Vascular Surgeon
1919 S Wheeling Ave Ste 600
Tulsa
, Oklahoma 74104-5635
Peter Richard Nelson
Vascular Surgeon
1919 S Wheeling Ave Ste 600
Tulsa
, Oklahoma 74104-5635
(918) 634-7560
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Peter Richard Nelson
- Po Box 268838
- Oklahoma City, OK
- Zip : 73126-8838
- Fax : (918) 634-7560
- Phone : (918) 634-7500
Second Address
- Peter Richard Nelson
- 1919 S Wheeling Ave Ste 600
- Tulsa, OK
- Zip : 74104-5635
- Fax : (918) 634-7560
- Phone : (918) 619-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 33362 | OK |
National Provider Identifier
| NPI | 1043209307 |
|---|---|
| Provider Name | Peter Richard Nelson |
| First Address | Oklahoma City, OK 73126-8838 |
| Second Address | Tulsa, OK 74104-5635 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2005 |
| Last Update Date | 21/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 271189300 | (05) | FL |
| G03966 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.