Individual
BRADLEY D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
207 S 30TH STREET, CLINTON, OK 73601
(580) 323-5800
(580) 323-5802
Mailing address
207 S 30TH STREET, CLINTON, OK 73601
(580) 323-5800
(580) 323-5802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
230
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026910A
—
OK
Enumeration date
07/28/2005
Last updated
08/06/2025
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