Gregory Broderick-Villa in Antioch - Surgery
Gregory Broderick-Villa - NPI 1376571562
Gregory Broderick-Villa is a Surgery in Antioch, California. Gregory Broderick-Villa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Gregory Broderick-Villa is 1376571562. The last update date is 2021-12-27.
Gregory Broderick-Villa's current location address is 2345 Country Hills Dr, Antioch, California. You can contact this provider via phone number 9254180278. The mailing address for Gregory Broderick-Villa is 2345 Country Hills Dr, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Broderick-Villa |
|---|---|
| Address | 2345 Country Hills Dr, Antioch, California |
| Phone Number | 9254180278 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376571562 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2021-12-27 |
Provider Mailing Address Detail
| Address | 2345 Country Hills Dr |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945097319 |
| Phone Number | 9254180278 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A82944 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique identifier code issued to Gregory Broderick-Villa by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Broderick-Villa has been assigned the NPI (National Provider Identifier) 1376571562. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Gregory Broderick-Villa is located?
The Gregory Broderick-Villa is situated at the following address: 2345 Country Hills Dr, Antioch, CA, 945097319.
What is Gregory Broderick-Villa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory Broderick-Villa is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376571562 to Gregory Broderick-Villa?
The Centers for Medicare & Medicaid Services originally issued the 1376571562 to Gregory Broderick-Villa on 2006-06-28.
When was the information regarding Gregory Broderick-Villa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory Broderick-Villa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-27.