| Broadway Medical Group, Llc | |
|
403 16th St Suite 301 Denver CO 80202-5026 | |
| (720) 598-9206 | |
| Not Available |
| Full Name | Broadway Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 403 16th St, Denver, Colorado |
| Authorized Official Name and Position | Tammy Carpenter (OFFICE MANAGER) |
| Authorized Official Contact | 9548681563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Medical Group, Llc 403 16th St Suite 301 Denver CO 80202-5026 Ph: (720) 598-9206 | Broadway Medical Group, Llc 403 16th St Suite 301 Denver CO 80202-5026 Ph: (720) 598-9206 |
| NPI Number | 1881131662 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881131662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0058017 (Colorado) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
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