Individual
BRENT JOHN NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 MAIN ST, WINDSOR, CO 80550-5989
(970) 686-5646
Mailing address
1300 MAIN ST, WINDSOR, CO 80550-5989
(970) 686-5646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0075511
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
05/14/2022
Last updated
07/01/2025
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