Healthcare Provider Details

I. General information

NPI: 1750392528
Provider Name (Legal Business Name): BRANDT A JAMROZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 UNIVERSITY BLVD SUITE 77
DENVER CO
80206-4616
US

IV. Provider business mailing address

210 UNIVERSITY SUITE 77
DENVER CO
80206
US

V. Phone/Fax

Practice location:
  • Phone: 720-941-7000
  • Fax: 720-941-7070
Mailing address:
  • Phone: 720-941-7000
  • Fax: 720-941-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number23980
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: