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

NPI 1063601474 - Urology - 208800000X

NPI Details
NPI 1063601474
Enumeration Date 10/22/2007
Last Updated 10/22/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GENE M GENE
Position PRESIDENT
Phone (805) 522-0333
Fax (805) 522-4230
Practice Location
2925 SYCAMORE DRIVE
STE. 201
SIMI VALLEY CA, 93065, US
Phone (805) 522-0333
Fax (805) 522-4230
Business Location
2925 SYCAMORE DRIVE
STE. 201
SIMI VALLEY CA, 93065, US
Phone (805) 522-0333
Fax (805) 522-4230
Toxanomy
Taxonomy Code 208800000X
License State California
License Number C026169
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According to our database, Gene M. Broth, M.d., Inc. NPI is 1063601474, taxonomy code is 208800000X and license number is C026169, license state is located at California. Gene M. Broth, M.d., Inc. physically located at 2925 Sycamore Drive, Simi Valley CA, 93065. NPI Number 1033115704 has the healthcare provider type.

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1063601474 NPI number is provided on an as is basis without warranty of any kind. 1063601474 is maintained by the National Plan & Provider Enumeration System. The contents of Gene M. Broth, M.d., Inc. are for informational purposes only.