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Dr. Broderick Eaton, DO
Family Medicine Physician in Wynne, Arkansas
NPI 1992115646

Broderick Eaton is a Family Medicine Physician based in Augusta, AR. Broderick Eaton practices in Wynne, AR and has the professional credentials of DO. The NPI Number for Broderick Eaton is 1992115646 and holds a License No. (Arkansas).

The current practice location address for Broderick Eaton is 601 Julia Ave E, Wynne, AR and can be reached out via phone at 870-238-0377.

Location: 601 Julia Ave E, Wynne, AR, 72006-0497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992115646
Provider Name
Broderick Eaton
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
601 Julia Ave E, Wynne, AR, 72006-0497
Phone Number
870-238-0377
Fax Number
Provider Enumeration Date
05/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214324003 05 AR
institution
Provider Business Practice Location Address Details
Address
601 Julia Ave E
City
Wynne
State
Arkansas
Zip
72396-3506
Phone Number
870-238-0377
Fax Number
person
Provider Business Mailing Address Details
Address
601 Julia Ave E
City
Wynne
State
Arkansas
Zip
72396-3506
Phone Number
870-238-0377
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
E-9395 (Arkansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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