Individual
CHARLES LEVI NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
320 E FONTANERO ST STE 100, COLORADO SPRINGS, CO 80907-7535
(719) 365-7420
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0066360
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2018
Last updated
09/13/2021
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