Provider Demographics
NPI:1740674167
Name:BRODY-CAMP, SABRINA (MD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:BRODY-CAMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 W MINERAL AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5715
Mailing Address - Country:US
Mailing Address - Phone:303-795-5587
Mailing Address - Fax:303-795-3404
Practice Address - Street 1:1501 W MINERAL AVE STE 270
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5715
Practice Address - Country:US
Practice Address - Phone:303-795-5587
Practice Address - Fax:303-795-3404
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202930207Y00000X
MA286459207Y00000X
CODR.0068509207YS0123X
CO0068509207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery