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Organization
ALTITUDE KIDNEY HEALTH PLLC
Active
Organization
ALTITUDE KIDNEY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ERIC BROOKENS MD (FOUNDER OWNER)
(720) 500-3439
Entity
Organization
Contact information
Practice address
350 S 400 E, BOUNTIFUL, UT 84010-4932
(720) 500-3439
Mailing address
1260 S PARKER RD STE 202, DENVER, CO 80231-8068
(720) 500-3439
(920) 500-3559
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11249743-1205
UT MEDICAL LICENSE
UT
01
—
11249743-8905
UT CDS NUMBER
UT
Enumeration date
12/31/2019
Last updated
12/31/2019
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