Gene M. Broth, M.d., Inc.

NPI #1063601474 in Simi Valley, California

Provider Information

NPI Number: 1063601474
Entity Type: Organization
Organization Name: Gene M. Broth, M.d., Inc.
Primary Specialty: Urology
Enumeration Date: Oct 22, 2007
Last Updated: Oct 22, 2007

Practice Location

Address: 2925 SYCAMORE DRIVE
Address 2: STE. 201
City: Simi Valley
State: California
ZIP Code: 93065
Phone: (805) 522-0333

Authorized Official

Name: DR. GENE M BROTH, M.D.
Title: PRESIDENT
Phone: (805) 522-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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