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Individual

ERIC K HAMMERBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4485 WADSWORTH BLVD, STE 301, WHEAT RIDGE, CO 80033-3318
(303) 825-3759
(303) 825-7003
Mailing address
4485 WADSWORTH BLVD, STE 310, WHEAT RIDGE, CO 80033-3318
(303) 825-3759
(303) 825-7003

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16589
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01165893
CO
01
COB4250
PTAN INDIVIDUAL
CO
Enumeration date
01/14/2008
Last updated
02/12/2009
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