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Individual

MR. TIMOTHY JOHN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1793 LAKE WOODMOOR DR, MONUMENT, CO 80132-9074
(719) 434-2781
Mailing address
1793 LAKE WOODMOOR DR, MONUMENT, CO 80132-9074
(719) 434-2781

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5738
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UE671408
BCBS
Enumeration date
12/27/2005
Last updated
09/23/2015
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