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Individual

ANNE L. BROCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1520 EVERGREEN PKWY, EVERGREEN, CO 80439-7848
(303) 674-2273
(303) 670-2160
Mailing address
34 WOODSIDE CIR, PINE, CO 80470-9677
(303) 718-7264

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30902
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01303020
CO
Enumeration date
05/18/2006
Last updated
01/14/2014
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