Individual provider · Type 1 NPI

Brooke Distefano, P.A.

Surgical Physician Assistant · Greenwood Village, CO

NPI number 1124001649 Active

Practice location

7800 E Orchard Rd, Suite 100
Greenwood Village, CO 80111-2583

Fax (303) 783-1200

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400X3413 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1124001649

Brooke Distefano, P.A.'s National Provider Identifier is 1124001649, issued on Nov 29, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenwood Village, CO. The record was last updated on Sep 4, 2012.