Sprouts Psychiatry
NPI #1962245126 in Broomfield, Colorado
Provider Information
- NPI Number
- 1962245126
- Entity Type
- Organization
- Organization Name
- Sprouts Psychiatry
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Sep 29, 2024
Practice Location
- Address
- 561 W 173RD PL
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-5202
- Phone
- (860) 961-8406
Authorized Official
- Name
- SAGE THIBDEAU, PA-C
- Title
- PSYCHIATRIC PA
- Phone
- (720) 618-7098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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