Broderick Staves

NPI 1255063863 · on the registry since 2022

Practice

Address: 410 S Rampart Blvd Ste 390
Las Vegas, NV 89145
Phone: (702) 751-0356
Organisation at this address: Toan Ha, O.D. Llc
Freedom Care Nv Llc
Axiom Dentistry, Llc
P3 Dental - Welebir Pc
New Day New Horizon Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 106

Registry record

Primary taxonomy: 3747P1801X
3747P1801X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada