Organization
WESTERN CARDIOTHORACIC ASSOCIATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SEAN BROOKS MD (OWNER)
(970) 242-7292
Entity
Organization
Contact information
Practice address
1050 WELLINGTON AVE STE A, GRAND JUNCTION, CO 81501-8166
(970) 242-7292
Mailing address
1050 WELLINGTON AVE STE A, GRAND JUNCTION, CO 81501-8166
(970) 242-7292
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017737
—
CO
01
—
CS9812
RAILROAD MEDICARE
CO
Enumeration date
07/02/2006
Last updated
08/22/2020
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