Search › California › 122300000X
Landen Broadhead
NPI 1013455492 · on the registry since 2017 · sole proprietor
Practice
- Address
- 151 Bodin Cir
Travis Afb, CA 94535 - Phone
- (707) 423-7000
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California