DR. Jeffrey L Broadhead, O.D.

NPI #1306829569 in South Jordan, Utah

Provider Information

NPI Number
1306829569
Entity Type
Individual
Name
DR. Jeffrey L Broadhead, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Nov 22, 2005
Last Updated
Jun 23, 2015

Practice Location

Address
3556 W 9800 S
Address 2
SUITE 104
State
Utah
ZIP Code
84095-3211
Phone
(801) 253-6590

Specialties & Taxonomy Codes

Specialty
Optometrist

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