Bro - Centennial LLC
NPI #1538843883 in Centennial, Colorado
Provider Information
- NPI Number
- 1538843883
- Entity Type
- Organization
- Organization Name
- Bro - Centennial LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BREAKTHROUGH REGENERATIVE ORTHOPEDICS
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- Jun 14, 2023
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 5161 E ARAPAHOE RD STE 250
- City
- Centennial
- State
- Colorado
- ZIP Code
- 80122-4810
- Phone
- (720) 463-0567
Authorized Official
- Name
- DR. TIMOTHY J MAZZOLA, MD
- Title
- SOLE OWNER
- Phone
- (720) 463-0567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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