Individual
TAMARA ANN BRUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 S JACKSON ST STE 704, DENVER, CO 80210-3806
(720) 412-9648
Mailing address
1776 S JACKSON ST STE 704, DENVER, CO 80210-3806
(720) 412-9648
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0012813
CO
305R00000X
Preferred Provider Organization
0012813
CO
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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