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Kevin Stanley Broaddrick, DPM
Podiatrist in Peoria, Arizona
NPI 1639188394

Kevin Stanley Broaddrick is a Podiatrist based in Chandler, AZ. Kevin Stanley Broaddrick practices in Peoria, AZ and has the professional credentials of DPM. The NPI Number for Kevin Stanley Broaddrick is 1639188394 and holds a License No. POD-000814 (Arizona).

The current practice location address for Kevin Stanley Broaddrick is 6739 W Cactus Rd, Peoria, AZ and can be reached out via phone at 833-242-0100 and via fax at 602-805-4745. You can also correspond with Kevin Stanley Broaddrick through the mailing address at 3149 E HAZELTINE WAY, CHANDLER, AZ - 85249-9066 (mailing address contact number: 414-702-0954).

Location: 6739 W Cactus Rd, Peoria, AZ, 85249-9066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639188394
Provider Name
Kevin Stanley Broaddrick
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6739 W Cactus Rd, Peoria, AZ, 85249-9066
Phone Number
833-242-0100
Fax Number
602-805-4745
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6739 W Cactus Rd
City
Peoria
State
Arizona
Zip
85381-5311
Phone Number
833-242-0100
Fax Number
602-805-4745
person
Provider Business Mailing Address Details
Address
3149 E Hazeltine Way
City
Chandler
State
Arizona
Zip
85249-9066
Phone Number
414-702-0954
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD-000814 (Arizona)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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