Search › New Mexico › 171100000X
Adam Broder, DOM
NPI 1114418068 · on the registry since 2018 · sole proprietor
Practice
- Address
- 814 Fayette St
Santa Fe, NM 87505 - Phone
- (773) 398-1790
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-27
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 New Mexico