Dale Broome in Redlands - Vascular & Interventional Radiology

Dale Broome - NPI 1396761631

Dale Broome is a Vascular & Interventional Radiology in Redlands, California. Dale Broome practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Dale Broome is 1396761631. The last update date is 2019-05-21.

Dale Broome's current location address is 2 W Fern Ave, Redlands, California. You can contact this provider via phone number 9097933311 and fax number 9093351936. The mailing address for Dale Broome is 2 W Fern Ave, Redlands, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Broome
Address 2 W Fern Ave, Redlands, California
Phone Number 9097933311
Fax Number 9093351936
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1396761631
Provider Enumeration Date 2006-07-13
Last Updated Date 2019-05-21

Provider Mailing Address Detail

Address 2 W Fern Ave
City Redlands
State California (CA)
Post Code 923735916
Phone Number 9097933311
Fax Number 9093351936

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No G86348
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G863480 CA --

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FAQs about Dale Broome

What is the Dale Broome's 1396761631?

The Dale Broome's NPI (National Provider Identifier) Number is 1396761631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dale Broome is located?

The Dale Broome is situated at the following address: 2 W Fern Ave, Redlands, CA, 923735916.

What is the Dale Broome's area of specialization and corresponding taxonomy classification?

The Dale Broome's specialty field is Vascular & Interventional Radiology, and it falls under the taxonomy code 2085R0204X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1396761631 to Dale Broome?

The Centers for Medicare & Medicaid Services assigned the 1396761631 to Dale Broome on 2006-07-13.

As of what date were the details pertaining to Dale Broome last refreshed?

The information related to the Dale Broome, including its address, specialty, and other relevant details, was last updated on 2019-05-21.

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