Provider Demographics
NPI:1689109605
Name:NELSON, JOSHUA C (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
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 1:756 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-1224
Mailing Address - Country:US
Mailing Address - Phone:610-630-0716
Mailing Address - Fax:
Practice Address - Street 1:DESERT REGIONAL MEDICAL CENTER
Practice Address - Street 2:1150 N INDIAN CANYON DR
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:619-630-0716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7502207P00000X
KYTP017207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine