Individual
BROOKE DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7800 E ORCHARD RD, SUITE 100, GREENWOOD VILLAGE, CO 80111-2583
(303) 697-7463
(303) 783-1200
Mailing address
7800 E ORCHARD RD, SUITE 100, GREENWOOD VILLAGE, CO 80111-2583
(303) 697-7463
(303) 783-1200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
3413
CO
Other
Enumeration date
11/29/2005
Last updated
09/04/2012
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