Individual
DONNA M BROGMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2420 W 16TH ST, GREELEY, CO 80634-6004
(970) 353-7668
(970) 353-2801
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
(970) 378-8035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0031838
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10397077
CAQH
—
Enumeration date
05/02/2006
Last updated
11/03/2020
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