| NPI | 1407487788 |
|---|---|
| Doing Business As | BROADMOOR VALLEY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DAVID I COHEN Medical Director 702-480-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-03-07 |