OrganizationActive
Boulder Valley Iom, LLC
NPI 1316464076 · Neurology Physician · Broomfield, CO
Provider details
- NPI number
- 1316464076
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexandra Lewis, Onwer(202) 316-9902
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3492 W 155th Ave
Broomfield, CO 80023-4100
Phone: (202) 316-9902
Fax: (303) 302-1591
Approximate (ZIP-level) locationGet directions
Mailing address
5023 W 120th Ave
Broomfield, CO 80020-5606
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.