Individual
RANDALL K. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13955 E MISSISSIPPI AVE, AURORA, CO 80012-3692
(303) 695-4999
(303) 695-0896
Mailing address
11103 WEST AVE, STE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1198
CO
Other
Enumeration date
10/17/2006
Last updated
07/09/2007
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