Individual
BRENT V. NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1650 COCHRANE CIR, ADOLESCENT MEDICINE USA MEDDAC, EACH,, FORT CARSON, CO 80913-4603
(719) 526-7226
Mailing address
630 MAROONGLEN CT, COLORADO SPRINGS, CO 80906-6805
(719) 576-2745
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
DO407
AL
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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