Individual
DR. AMANDA LEE HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2573
(513) 852-8525
Mailing address
360 3RD ST STE 425, SAN FRANCISCO, CA 94107-2164
(800) 929-0926
(833) 914-0435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51328
CO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
51328
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023194
KAISER COMMERCIAL NUMBER
CO
05
—
2762210
—
OH
05
—
46439072
—
CO
Enumeration date
04/12/2007
Last updated
09/28/2020
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