Provider Demographics
NPI:1891908885
Name:BRENCE, JOEL J (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:J
Last Name:BRENCE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 W MAIN ST
Mailing Address - Street 2:STE 204
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1666
Mailing Address - Country:US
Mailing Address - Phone:970-920-2368
Mailing Address - Fax:970-920-2650
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:STE 204
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1666
Practice Address - Country:US
Practice Address - Phone:970-920-2368
Practice Address - Fax:970-920-2650
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO282972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry