Individual
DR. GREGG BRADLEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5312
Mailing address
3418 HONEY LN, VACAVILLE, CA 95688-9777
(707) 452-9635
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
64604
CA
Other
Enumeration date
06/29/2006
Last updated
12/09/2021
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