Brandon H. Broadhead BA

NPI 1093835753 - Counselor - 101Y00000X

NPI Details
NPI 1093835753
Gender Male
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2055 GARRETT WAY
SUITE 1
POCATELLO ID, 83201-5100, US
Phone (208) 233-7832
Fax
Business Location
PO BOX 4908
POCATELLO ID, 83205-4908, US
Phone (208) 236-1600
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1093835753 NPI Number
 

According to our database, Brandon H. Broadhead BA NPI is 1093835753, taxonomy code is 101Y00000X Brandon H. Broadhead BA physically located at 2055 Garrett Way, Pocatello ID, 83201-5100. NPI Number Brandon H. Broadhead BA has the Individual type.

Sponsored links

1093835753 NPI number is provided on an as is basis without warranty of any kind. 1093835753 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon H. Broadhead BA are for informational purposes only.