GLENN E NELSON DPM LLC NPI 1487700878

NPI Information

NPI: 1487700878
Provider Name: GLENN E NELSON DPM LLC
Classification: Podiatrist - 213ES0103X
Specialization: Foot & Ankle Surgery
Entity Type: Organization
Doing Business As: SONORAN FOOT AND ANKLE INSTITUTE
Address: 2308 N ROSEMONT BLVD
TUCSON, AZ
ZIP 85712
Phone: (520) 886-1172

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NPI Details

GLENN E NELSON DPM LLC is a foot and ankle surgery podiatrist in Tucson, AZ. GLENN E NELSON DPM LLC NPI is 1487700878. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sonoran Foot And Ankle Institute.

The provider's business location address is:

2308 N ROSEMONT BLVD
TUCSON, AZ
ZIP 85712-139
Phone: (520) 886-1172
Fax: (520) 290-8894

The provider's authorized official is David Hatch .
The authorized official title is Doctor and has the following contact phone number (520) 886-1176.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC9300	OTHER	ARIZONA	RAILROAD MEDICARE
2	701004	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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