Brent V. Nelson D.O.

NPI 1023084902 - Family Medicine - 207QA0000X

NPI Details
NPI 1023084902
Gender Male
Enumeration Date 02/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1650 COCHRANE CIR
ADOLESCENT MEDICINE USA MEDDAC, EACH,
FORT CARSON CO, 80913-4603, US
Phone (719) 526-7226
Fax
Business Location
630 MAROONGLEN CT
COLORADO SPRINGS CO, 80906-6805, US
Phone (719) 576-2745
Fax
Toxanomy
Taxonomy Code 207QA0000X
License State Alabama
License Number DO407
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According to our database, Brent V. Nelson D.O. NPI is 1023084902, taxonomy code is 207QA0000X and license number is DO407, license state is located at Alabama. Brent V. Nelson D.O. physically located at 1650 Cochrane Cir, Fort Carson CO, 80913-4603. NPI Number Brent V. Nelson D.O. has the Individual type.

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1023084902 NPI number is provided on an as is basis without warranty of any kind. 1023084902 is maintained by the National Plan & Provider Enumeration System. The contents of Brent V. Nelson D.O. are for informational purposes only.