Marc S. Broadway in Farmington - Addiction (substance Use Disorder)

Marc S. Broadway - NPI 1043342496

Marc S. Broadway is a Addiction (substance Use Disorder) in Farmington, New Mexico. Marc S. Broadway practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Marc S. Broadway is 1043342496. The last update date is 2007-07-08.

Marc S. Broadway's current location address is 2011 Troy King Rd Trlr 10, Farmington, New Mexico. You can contact this provider via phone number 5055660336. The mailing address for Marc S. Broadway is 2011 Troy King Rd Trlr 10, Farmington, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Marc S. Broadway
Address 2011 Troy King Rd Trlr 10, Farmington, New Mexico
Phone Number 5055660336
Fax Number
Sole Proprietor Y
Credentials B.A., SAA

NPI Number Detail

NPI Number 1043342496
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2011 Troy King Rd Trlr 10
City Farmington
State New Mexico (NM)
Post Code 874013123
Phone Number 5055660336
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 4455
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Marc S. Broadway

What is the unique 10-digit identification code assigned to Marc S. Broadway by the Centers for Medicare & Medicaid Services?

The Marc S. Broadway has been issued the NPI (National Provider Identifier) 1043342496, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Marc S. Broadway is physically located?

The Marc S. Broadway is situated at the following address: 2011 Troy King Rd Trlr 10, Farmington, NM 874013123.

What is Marc S. Broadway's specialized field of practice, and what is the corresponding taxonomy classification code?

The Marc S. Broadway's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Marc S. Broadway receive its 1043342496 assignment from the Centers for Medicare & Medicaid Services?

The Marc S. Broadway was assigned its 1043342496 by the Centers for Medicare & Medicaid Services on 2007-03-12.

When was the information related to Marc S. Broadway most recently updated or refreshed?

The details pertaining to the Marc S. Broadway, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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