Individual
MS. ROBERTA J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2127 E HARMONY RD, SUITE 140, FORT COLLINS, CO 80528-3405
(970) 297-6250
(970) 297-6260
Mailing address
3055 SANFORD CIR, SUITE 150, LOVELAND, CO 80538-4925
(970) 624-4420
(970) 624-4459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2595
CO
363AM0700X
Medical Physician Assistant
1500312
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100377320D
—
KS
Enumeration date
03/24/2006
Last updated
03/26/2013
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