Provider Demographics
NPI:1073514188
Name:ABRAMS, PAMELA ROLLINS (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ROLLINS
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:433 SUMMIT BLVD
Mailing Address - Street 2:UNIT 201
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8299
Mailing Address - Country:US
Mailing Address - Phone:303-673-9090
Mailing Address - Fax:303-673-9195
Practice Address - Street 1:433 SUMMIT BLVD
Practice Address - Street 2:UNIT 201
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8299
Practice Address - Country:US
Practice Address - Phone:303-673-9090
Practice Address - Fax:303-673-9195
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO32291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01322916Medicaid
E80866Medicare UPIN
COC359538Medicare PIN