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Search › Idaho › 363L00000X

Anthony Broderick, NP

NPI 1194820555 · on the registry since 2006

Practice

Address
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone
(208) 625-5185
Fax
(208) 625-6892
Organisation at this address
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Kootenai Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
235

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-28

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 Idaho