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Individual

BRISEIDA ROMERO ALEJANDRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2311
(719) 285-2000
Mailing address
559 VINCENT ST, ATTN: 21 MDOS/SGOF- FAMILY MEDICINE, PETERSON AFB, CO 80914-1540
(719) 567-4162

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52317
CA
363A00000X
Physician Assistant
Primary
PA.0004916
CO

Other

Enumeration date
03/27/2015
Last updated
09/12/2023
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