Search › Utah › 207Q00000X
Jeremy Broadhurst, DO
NPI 1114115664 · on the registry since 2007
Practice
- Address
- 190 S Highway 165
Providence, UT 84332 - Phone
- (435) 755-3300
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-05
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 Utah