Lee S. Broadbent, M.d. Apc

NPI #1427227768 in Logan, Utah

Provider Information

NPI Number: 1427227768
Entity Type: Organization
Organization Name: Lee S. Broadbent, M.d. Apc
Primary Specialty: Surgery
Enumeration Date: Feb 20, 2008
Last Updated: Apr 7, 2011

Practice Location

Address: 550 E 1400 N
Address 2: SUITE D
City: Logan
State: Utah
ZIP Code: 84341-2406
Phone: (435) 752-7122

Authorized Official

Name: LEE S BROADBENT, M.D.
Title: PRESIDENT
Phone: (435) 752-7122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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