Individual
BROOKE T PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4231 W 16TH AVE, DENVER, CO 80204-1335
(303) 629-3721
(303) 629-2192
Mailing address
7851 S ELATI ST, SUITE 202, LITTLETON, CO 80120-8080
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2000
CO
363A00000X
Physician Assistant
Primary
PA.0002000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51026023
—
CO
Enumeration date
02/14/2006
Last updated
01/31/2025
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