Todd G. Broberg in San Diego - Plastic Surgery Within The Head & Neck
Todd G. Broberg - NPI 1174682777
Todd G. Broberg is a Plastic Surgery Within The Head & Neck in San Diego, California. Todd G. Broberg practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Todd G. Broberg is 1174682777. The last update date is 2021-11-30.
Todd G. Broberg's current location address is 4647 Zion Ave, San Diego, California. You can contact this provider via phone number 6195285000. The mailing address for Todd G. Broberg is 4647 Zion Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd G. Broberg |
|---|---|
| Address | 4647 Zion Ave, San Diego, California |
| Phone Number | 6195285000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174682777 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 4647 Zion Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921202507 |
| Phone Number | 6195285000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | G79418 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Post Comment/ Review Below
What is the Todd G. Broberg's 1174682777?
The Todd G. Broberg's NPI (National Provider Identifier) Number is 1174682777. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Todd G. Broberg?
The Todd G. Broberg is situated at 4647 Zion Ave, in the city of San Diego, state of CA, with the zip code 921202507.
What is Todd G. Broberg's area of expertise and its corresponding taxonomy classification?
The Todd G. Broberg's field of specialization is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1174682777 to Todd G. Broberg?
The Todd G. Broberg received its 1174682777 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date were the details related to Todd G. Broberg most recently updated or revised?
The information pertaining to Todd G. Broberg, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-30.
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