| Nicholas John Broom, PA-C | |
|
200 Robinson St, Basalt, CO 81621-8472 | |
| (970) 476-1100 | |
| Not Available |
| Full Name | Nicholas John Broom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 200 Robinson St, Basalt, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518779917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas John Broom, PA-C 200 Robinson St, Basalt, CO 81621-8472 Ph: () - | Nicholas John Broom, PA-C 200 Robinson St, Basalt, CO 81621-8472 Ph: (970) 476-1100 |
Christine Lynn Mcconnell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Emma Rd Ste 106, Basalt, CO 81621 Phone: 970-945-2840 Fax: 970-945-2893 | |
Sarah Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Emma Rd, Basalt, CO 81621 Phone: 970-945-2840 | |
Tracie E Walterscheid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 123 Emma Rd, Basalt, CO 81621 Phone: 970-945-2840 Fax: 970-945-2893 | |
Miss Ashley Dawn Fitzpatrick, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1450 E Valley Rd Unit 102, Basalt, CO 81621 Phone: 980-927-4666 | |
Lisa E Hicks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Emma Rd Ste 106, Basalt, CO 81621 Phone: 970-945-2840 | |
Delilah Chance, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Robinson St, Basalt, CO 81621 Phone: 970-476-1100 |