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Individual

BRAD NEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 244-1977
Mailing address
PO BOX 1628, GRAND JUNCTION, CO 81502-1628
(970) 244-1977

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01057799
IN
207P00000X
Emergency Medicine Physician
047468
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200478760
IN
Enumeration date
07/09/2006
Last updated
02/07/2011
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