Mark James Broxterman
Mark James Broxterman is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
8107 Cimarron Meadows WayLas Vegas, NV 89147-5055
Phone: (702) 429-2654
Fax: (702) 221-4275
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1841583986 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2011 |
| Last updated in NPPES | June 7, 2011 |
| Mailing address | 8107 Cimarron Meadows Way, Las Vegas, NV 89147-5055 |
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