Search › Idaho › 101YM0800X
Duane Broderick
NPI 1285921643 · on the registry since 2011
Practice
- Address
- 2311 Parke Ave., Ste. 8
Burley, ID 83350 - Phone
- (208) 878-3350
- Fax
- (208) 878-3351
- Organisation at this address
- A Plus Solutions Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-06
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