Organization
BROADMOOR HEARING CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GARDNER AUD (MANAGER)
(303) 322-0054
Entity
Organization
Contact information
Practice address
1685 BRIARGATE BLVD STE D, COLORADO SPRINGS, CO 80920-3417
(719) 388-1404
(303) 355-5879
Mailing address
90 MADISON ST STE 201, DENVER, CO 80206-5411
(303) 322-0054
(303) 355-5879
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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