person
Bryan Kent Broadbent, DPM
Foot Surgery Podiatrist in Farmington, New Mexico
NPI 1215011218

Bryan Kent Broadbent is a Foot Surgery Podiatrist based in Farmington, NM and is specialized in Foot Surgery. Bryan Kent Broadbent practices in Farmington, NM and has the professional credentials of DPM. The NPI Number for Bryan Kent Broadbent is 1215011218 and holds a License No. POD417 (New Mexico).

The current practice location address for Bryan Kent Broadbent is 2300 E 30Th St Bldg D-101, Farmington, NM and can be reached out via phone at 505-327-1400 and via fax at 505-564-3202. You can also correspond with Bryan Kent Broadbent through the mailing address at 2300 E 30TH ST BLDG D-101, FARMINGTON, NM - 87401-8991 (mailing address contact number: 505-327-1400).

Location: 2300 E 30Th St Bldg D-101, Farmington, NM, 87401-8991
person
Provider Profile Details
NPI Number
1215011218
Provider Name
Bryan Kent Broadbent
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2300 E 30Th St Bldg D-101, Farmington, NM, 87401-8991
Phone Number
505-327-1400
Fax Number
505-564-3202
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10432353 05 NM
institution
Provider Business Practice Location Address Details
Address
2300 E 30Th St Bldg D-101
City
State
Zip
87401-8991
Phone Number
505-327-1400
Fax Number
505-564-3202
person
Provider Business Mailing Address Details
Address
2300 E 30Th St Bldg D-101
City
State
Zip
87401-8991
Phone Number
505-327-1400
Fax Number
505-564-3202
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
POD417 (New Mexico)
Definition
Definition to come...
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