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Dylan Broadwater
NPI 1568016103 · on the registry since 2019
Practice
- Address
- 701 Hospital Loop
Fairchild Afb, WA 99011 - Phone
- (509) 247-3355
- Organisation at this address
- 92d Medgrp-Fairchild
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 63
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-30
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 Washington