Individual
BRETT ALLEN NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
180 S 3RD ST, SUITE 400, BELLEVILLE, IL 62220-1952
(618) 233-7880
(618) 222-4792
Mailing address
180 S 3RD ST, SUITE 400, BELLEVILLE, IL 62220-1952
(618) 233-7880
(618) 222-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.059709
IL
207Q00000X
Family Medicine Physician
8570024-1204
UT
Other
Enumeration date
06/13/2011
Last updated
03/13/2017
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