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BROOKE M HALLIWELL DO

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508078759

Individual Registrant:
 BROOKE M HALLIWELL DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1830 BLAKE AVENUE SUITE 208 GLENWOOD SPGS, CO 81601-4592 US
Tel: 970-945-2238  Fax: 970-928-8926

Contact information for business:
1830 BLAKE AVENUE SUITE 208 GLENWOOD SPGS, CO 81601-4592 US
Tel: 970-945-2238  Fax: 970-928-8926

Registration Information:
NPI: 1508078759
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
PAOT012106
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
CO49947

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI150807875901
61273546CO05
LICENSE49947CO01




HEALTH CARE JOBS CO - Page 1



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