Organization
ERIC K HAMMERBERG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC K HAMMERBERG MD (OWNER)
(303) 825-3759
Entity
Organization
Contact information
Practice address
4485 WADSWORTH BLVD, STE 301, WHEAT RIDGE, CO 80033-3318
(303) 825-3759
(303) 825-7003
Mailing address
4485 WADSWORTH BLVD, STE 301, WHEAT RIDGE, CO 80033-3318
(303) 825-3759
(303) 825-7003
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16589
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01165893
—
CO
01
—
CO40689
INDIVIDUAL PTAN
CO
01
—
COB4381
GROUP PTAN
CO
01
—
HA38551
BCBS
—
Enumeration date
11/07/2006
Last updated
05/01/2012
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