Staci Broughton
NPI #1962847822 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1962847822
- Entity Type
- Individual
- Name
- Staci Broughton
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Enumeration Date
- May 6, 2013
- Last Updated
- Oct 15, 2013
Practice Location
- Address
- 5101 N 34TH ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74014-1710
- Phone
- (918) 605-6796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist |
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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