Individual
DR. MICHAEL JOSEPH BRAZELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6179 S BALSAM WAY, SUITE 205, LITTLETON, CO 80123-3091
(303) 972-2000
(720) 245-2690
Mailing address
5351 W DORADO PL, LITTLETON, CO 80123-0858
(303) 526-7594
(303) 526-7594
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31178
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01311786
—
CO
Enumeration date
02/07/2007
Last updated
07/31/2012
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