person
John Broderick, MD
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1710627070

John Broderick is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. John Broderick practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for John Broderick is 1710627070 and holds a License No. (Arizona).

The current practice location address for John Broderick is 1300 N 12Th St Ste 320, Phoenix, AZ and can be reached out via phone at 602-521-3050.

Location: 1300 N 12Th St Ste 320, Phoenix, AZ, 85006-2858
person
Provider Profile Details
NPI Number
1710627070
Provider Name
John Broderick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1300 N 12Th St Ste 320, Phoenix, AZ, 85006-2858
Phone Number
602-521-3050
Fax Number
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 N 12Th St Ste 320
City
State
Zip
85006-2858
Phone Number
602-521-3050
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N 12Th St Ste 320
City
State
Zip
85006-2858
Phone Number
602-521-3050
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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