Boulder Valley Iom, LLC
NPI #1316464076 in Broomfield, Colorado
Provider Information
- NPI Number
- 1316464076
- Entity Type
- Organization
- Organization Name
- Boulder Valley Iom, LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Mar 7, 2024
Practice Location
- Address
- 3492 W 155TH AVE
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-4100
- Phone
- (202) 316-9902
Authorized Official
- Name
- ALEXANDRA LEWIS
- Title
- ONWER
- Phone
- (202) 316-9902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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