Individual
BRADFORD A. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E TRENT AVE # 200, SPOKANE, WA 99202-2902
(509) 747-3147
Mailing address
1401 E TRENT AVE # 200, SPOKANE, WA 99202-2902
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00046288
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210882
L&I
WA
05
—
8456295
—
WA
Enumeration date
04/14/2006
Last updated
10/24/2022
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