MR. Robert W Broddus JR., LAT, ATC

NPI #1407203060 in Salisbury, Maryland

Provider Information

NPI Number
1407203060
Entity Type
Individual
Name
MR. Robert W Broddus JR., LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
May 24, 2016
Last Updated
May 24, 2016

Practice Location

Address
1101 CAMDEN AVE
Address 2
SALISBURY UNIVERSITY
ZIP Code
21801-6837
Phone
(410) 543-6355

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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