Individual
DR. BRENT JAMES PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 241-8443
Mailing address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 242-6600
(970) 241-8443
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35129549
—
CO
01
—
P00403557
RRPTAN
CO
Enumeration date
01/03/2007
Last updated
12/30/2014
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