Provider Demographics
NPI:1588703979
Name:ASHBROOK, CHARLES DENNIS (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DENNIS
Last Name:ASHBROOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23210 E ROCKINGHORSE PKWY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7817
Mailing Address - Country:US
Mailing Address - Phone:619-850-4269
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST # MC0490
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-6923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA991882084P0800X
CODR.00698182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry