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NPI Code Detail

MEDICARE: BROOKE D GEYER DO

MEDICARE: BROOKE D GEYER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianDR.0056557CO
22080H0002XPediatric Hospice and Palliative Medicine PhysicianDR.0056557CO
3208000000XPediatrics PhysicianDR.0056557CO

General Provider Information

NPI Number : 1205034741
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE D GEYER DO
Provider Business Mailing Address
First Line : 2550 TENDERFOOT HILL ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-3998
Country : US
Telephone Number : 573-882-2259
Fax Number :
Provider Business Practice Location Address
First Line : 13123 E 16TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-7106
Country : US
Telephone Number : 720-777-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 02/28/2020

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Directions to “ BROOKE D GEYER DO” Practice Location

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