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Individual

BRIAN MAXWELL NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(520) 457-8611
Mailing address
1023 N ROYAL ST UNIT 115, ALEXANDRIA, VA 22314-1589
(520) 457-8611

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101276160
VA
208D00000X
General Practice Physician
0101276160
VA

Other

Enumeration date
05/26/2021
Last updated
07/23/2025
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