Individual
AMANDA ROSE BERGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
DR.0073910
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0073910
CO
207P00000X
Emergency Medicine Physician
OT019076
PA
Other
Enumeration date
05/29/2019
Last updated
02/10/2025
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