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Search › Arkansas › 164W00000X

Gwendolyn Broughton

NPI 1356632996 · on the registry since 2011

Practice

Address
5800 W 10th St
101
Little Rock, AR 72204
Phone
(501) 660-6886
Fax
(501) 660-6838
Organisation at this address
St. George
State Of Arkansas
State Of Arkansas
State Of Arkansas
State Of Arkansas
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-05-01

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 Arkansas