BRENT D NELSON

BOISE, ID
NPI1740224310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: ID  M6231)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M6231)
Enumeration Date2006-06-15
Last Update Date2019-10-22
Business Address
BRENT D NELSON M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
Mailing Address
BRENT D NELSON M.D.
115 W MAIN ST STE 202
BOISE, ID 83702-7303
Phone number: 208-433-9466