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Broderick Hunter
NPI 1225493109 · on the registry since 2015
Practice
- Address
- 254 Olympia Dr
Shreveport, LA 71106 - Phone
- (318) 918-9363
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-21
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 Louisiana