Terrance Broussard

NPI 1205232550 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1205232550
Gender Male
Enumeration Date 11/14/2014
Last Updated 11/14/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
12672 FEDERAL PL
FISHERS IN, 46037-7833, US
Phone (317) 374-4102
Fax
Business Location
12672 FEDERAL PL
FISHERS IN, 46037-7833, US
Phone (317) 374-4102
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Indiana
License Number 991572
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According to our database, Mr. Terrance Broussard NPI is 1205232550, taxonomy code is 2255A2300X and license number is 991572, license state is located at Indiana. Terrance Broussard physically located at 12672 Federal Pl, Fishers IN, 46037-7833. NPI Number Terrance Broussard has the Individual type.

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1205232550 NPI number is provided on an as is basis without warranty of any kind. 1205232550 is maintained by the National Plan & Provider Enumeration System. The contents of Terrance Broussard are for informational purposes only.