Provider Demographics
NPI:1366701856
Name:NELSON, ERIK RICHARD (DO)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:RICHARD
Last Name:NELSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8970 E RAINTREE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7300
Mailing Address - Country:US
Mailing Address - Phone:602-273-9333
Mailing Address - Fax:
Practice Address - Street 1:8970 E RAINTREE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7300
Practice Address - Country:US
Practice Address - Phone:602-273-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10043696207L00000X
AZ006881207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology