Individual
BROOKE ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 440-2273
Mailing address
36 GARDEN CTR, BROOMFIELD, CO 80020-1776
(303) 465-0401
(303) 404-2317
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21686734
—
CO
Enumeration date
03/27/2006
Last updated
11/28/2007
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