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Individual

DR. JANICE K BRENNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-18349
KS
2085R0202X
Diagnostic Radiology Physician
Primary
22400
CO
2085R0202X
Diagnostic Radiology Physician
25097
NE
2085R0202X
Diagnostic Radiology Physician
MD17540
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01224005
CO
05
02300190
NY
05
053215201
TX
05
10025709000
NE
05
104686042
MI
05
1871579011
CA
05
1871579011
IA
05
1871579011
MN
05
1871579011
MT
05
1871579011
UT
05
1871579011
WY
05
200418380A
KS
05
651886
AZ
05
807445600
ID
05
84-059792913
NE
05
84738022
NM
05
MD711CO
AK
Enumeration date
12/20/2005
Last updated
12/07/2022
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