Stephen M Broaddus PA

  • NPI 1033452107
According to our database, the NPI number for Stephen M Broaddus PA is 1033452107 and activated since 11 years ago. Stephen M Broaddus PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 6800 State Route 162, Maryville, IL 62062. You can also contact Stephen M Broaddus PA via telephone number is (618) 267-0401. Provider NPI information was last updated on 05/19/2021.

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Overview of Stephen M Broaddus PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/27/2013
  • Last updated: 05/19/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085005004
  • License State: IL

Provider Mailing Address

  • Address: 1212 Shenandoah Ave
    Apt A
    Saint Louis, MO 63104
  • Phone: 618-267-0401
  • Fax:

Provider Practice Location

  • Address: 6800 State Route 162
    Maryville, IL 62062
  • Phone: 618-267-0401
  • Fax:

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 101441
  • License State: MO
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Stephen M Broaddus PA?
  • A: The npi number for Stephen M Broaddus PA is 1033452107.
  • Q: What are Stephen M Broaddus PA's specialties?
  • A: Stephen M Broaddus PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Stephen M Broaddus PA?
  • A: The medical license number for Stephen M Broaddus PA is 085005004 and issued in IL in USA.
  • Q: Where is Stephen M Broaddus PA practice location?
  • A: Stephen M Broaddus PA is practicing at 6800 State Route 162, Maryville, IL 62062.
  • Q: How to contact Stephen M Broaddus PA?
  • A: You can contact Stephen M Broaddus PA via 618-267-0401.