DR. Brandon Matthew Broadus, D.C.

NPI #1053630467 in Mandeville, Louisiana

Provider Information

NPI Number: 1053630467
Entity Type: Individual
Name: DR. Brandon Matthew Broadus, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 25, 2010
Last Updated: Feb 17, 2021

Practice Location

Address: 102 FONTAINBLEAU DR # D1
City: Mandeville
State: Louisiana
ZIP Code: 70471-6518
Phone: (985) 400-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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