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Contact Information

GREGORY N NELSON JR, MD
12349 DE PAUL DR STE 100
BRIDGETON, MO63044-2512
 Phone: 314-291-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GREGORY N NELSON JR · (Male)

NPI # 1114174265
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2008
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 49237
  • MO License # 2017006909
  • NJ License # 25MA09367900
  • PA License # MD448629
  • AZ Medicaid PENDING
Hospital affiliation(s)
  • SSM DEPAUL HEALTH CENTER - (Acute Care)
    12303 DEPAUL DRIVE
    BRIDGETON, MO 63044
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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