Thomas W Broderick, M.D.

NPI #1407878853 in Boise, Idaho

Provider Information

NPI Number
1407878853
Entity Type
Individual
Name
Thomas W Broderick, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
M.D.
Enumeration Date
Jul 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
190 E BANNOCK ST
City
Boise
State
Idaho
ZIP Code
83712-6241
Phone
(208) 381-2094

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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