Chassie A Broadus, O.D.

NPI #1265817274 in North Vernon, Indiana

Provider Information

NPI Number: 1265817274
Entity Type: Individual
Name: Chassie A Broadus, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 21, 2015
Last Updated: Jul 21, 2015

Practice Location

Address: 401 HENRY ST
City: North Vernon
State: Indiana
ZIP Code: 47265-1003
Phone: (812) 346-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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