JEREMY BROADHURST, DO

Family Medicine

Active Individual
NPI: 1114115664

Practice Address

190 S HIGHWAY 165
Providence, UT 84332

Phone: (435) 755-3300

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 6681706-1204 (UT)

Frequently Asked Questions

NPI 1114115664 is the National Provider Identifier for JEREMY BROADHURST, DO, a Family Medicine provider located in Providence, UT. This NPI was enumerated on October 10, 2007.
JEREMY BROADHURST, DO practices at 190 S HIGHWAY 165, Providence, UT 84332.

Quick Facts

NPI
1114115664
Type
Individual
Enumerated
Oct 10, 2007
Last Updated
Mar 5, 2012

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