Amy M Broomer
Dermatologist
755 Maleta Lane
Castle Rock
, Colorado 80108-7610
Amy M Broomer
Dermatologist
755 Maleta Lane
Castle Rock
, Colorado 80108-7610
(303) 688-6876
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Amy M Broomer
- 755 Maleta Lane
- Castle Rock, CO
- Zip : 80108-7610
- Fax : (303) 688-6876
- Phone : (303) 688-6355
Second Address
- Amy M Broomer
- 755 Maleta Lane
- Castle Rock, CO
- Zip : 80108-7610
- Fax : (303) 688-6876
- Phone : (303) 688-6355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 44275 | CO |
National Provider Identifier
| NPI | 1053323196 |
|---|---|
| Provider Name | Amy M Broomer |
| First Address | Castle Rock, CO 80108-7610 |
| Second Address | Castle Rock, CO 80108-7610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 10/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I51631 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.