Mary E Broughton in Brooklyn Park - Medical

Mary E Broughton - NPI 1487844734

Mary E Broughton is a Medical in Brooklyn Park, Minnesota. Mary E Broughton practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary E Broughton is 1487844734. The last update date is 2022-11-07.

Mary E Broughton's current location address is 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota. You can contact this provider via phone number 7635877900 and fax number 7635877066. The mailing address for Mary E Broughton is 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary E Broughton
Address 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota
Phone Number 7635877900
Fax Number 7635877066
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1487844734
Provider Enumeration Date 2007-08-01
Last Updated Date 2022-11-07

Provider Mailing Address Detail

Address 9201 W Broadway Ave Ste 601
City Brooklyn Park
State Minnesota (MN)
Post Code 554451924
Phone Number 7635877900
Fax Number 7635877066

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 10288
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Mary E Broughton

What is the unique 10-digit identifier code issued to Mary E Broughton by the Centers for Medicare & Medicaid Services?

The Mary E Broughton has been assigned the NPI (National Provider Identifier) 1487844734 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Mary E Broughton?

The Mary E Broughton is situated at 9201 W Broadway Ave Ste 601, in the city of Brooklyn Park, state of MN, with the zip code 554451924.

What is the Mary E Broughton's specialty and taxonomy code?

The Mary E Broughton's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Mary E Broughton receive its 1487844734 assignment from the Centers for Medicare & Medicaid Services?

The Mary E Broughton was assigned its 1487844734 by the Centers for Medicare & Medicaid Services on 2007-08-01.

When was the information regarding Mary E Broughton, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary E Broughton, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-07.

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