KEVIN BROADDRICK, DPM
Podiatrist
Active
Individual
NPI: 1639188394
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | POD-000814 (AZ) |
Frequently Asked Questions
NPI 1639188394 is the National Provider Identifier for KEVIN BROADDRICK, DPM, a Podiatrist provider located in Peoria, AZ. This NPI was enumerated on August 5, 2006.
KEVIN BROADDRICK, DPM practices at 6739 W CACTUS RD, Peoria, AZ 85381.
Quick Facts
- NPI
- 1639188394
- Type
- Individual
- Enumerated
- Aug 5, 2006
- Last Updated
- Aug 11, 2023
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