Individual
BRYCE TYLER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10561 JEFFREYS ST, #230, HENDERSON, NV 89052-4266
(702) 565-6565
(702) 990-5255
Mailing address
10561 JEFFREYS ST, #230, HENDERSON, NV 89052-4266
(702) 565-6565
(702) 990-5255
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1398
NV
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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