Individual
ELIZABETH BROOKE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8671 S QUEBEC ST STE 200, HIGHLANDS RANCH, CO 80130
(303) 805-7477
(303) 805-7478
Mailing address
8671 S QUEBEC ST STE 200, HIGHLANDS RANCH, CO 80130-5861
(303) 805-7477
(303) 805-7478
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
48034
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
CDRH.0048034
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04803736
—
CO
05
—
10025709000
—
NE
05
—
1740279504
—
MT
05
—
1740279504
—
WY
05
—
200631240A
—
KS
05
—
581662
—
AZ
05
—
84059792913
—
NE
05
—
84682558
—
NM
01
—
P01479814
RAIL ROAD MEDICARE RIN
NE
Enumeration date
10/14/2005
Last updated
01/30/2025
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