Robert Nickolisen, MD

NPI 1487692125 · on the registry since 2006 · sole proprietor

Practice

Address: 601 W Riverside Dr
Suites 3 And 4
Parker, AZ 85344
Phone: (602) 377-5900
Organisation at this address: Akdhc, Llc
Tequa Med-Peds Llc
Philip A St Raymond Md Pllc
San Luis Walk-In Clinic, Inc.
San Luis Walk-In Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona