NPI 1003110172

Robert John Nelson, PAC

Practitioner Physician Assistant Glenwood Springs, CO

Practice location

Address: 1830 Blake Ave, Glenwood Springs, CO 81601-4275
Phone: (970) 945-8503
Fax: (970) 945-0253
Mailing address: 1830 Blake Ave STE 207, Glenwood Springs, CO 81601-4261

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3043 (CO)

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Registry record

NPI: 1003110172
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2011
Record last updated: 29 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.