Provider Demographics
NPI:1992046262
Name:FREEMYER-BROWN, ANNA MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIE
Last Name:FREEMYER-BROWN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:FREEMYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1405 S 8TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-4560
Mailing Address - Country:US
Mailing Address - Phone:702-524-4306
Mailing Address - Fax:
Practice Address - Street 1:1405 S 8TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-4560
Practice Address - Country:US
Practice Address - Phone:702-524-4306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR062477207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program