STEPHEN MATTHEW BROADDUS

GRANITE CITY HOSPITALIST SERVICES LLC

Dr STEPHEN MATTHEW BROADDUS is a male medical professional, specializing in Physician Assistant. He graduated in 2012 from Saint Louis University School Of Medicine.

Contact

GRANITE CITY HOSPITALIST SERVICES LLC

2100 MADISON AVE
GRANITE CITY
IL
620404713

Tel: 6188331691

STEPHEN MATTHEW BROADDUS Information

Npi 1033452107
Pac Id 4789811720
Professional Enrollment Id I20140520001079
Last Name BROADDUS
First Name STEPHEN
Middle Name MATTHEW
Suffix
Gender M
Credential
Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GRANITE CITY HOSPITALIST SERVICES LLC
Group Practice Pac Id 8527356591
Number Of Group Practice Members 35
Line 1 Street Address 2100 MADISON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GRANITE CITY
State IL
Zip Code 620404713
Phone Number 6188331691
Hospital Affiliation Ccn 1 140052
Hospital Affiliation Lbn 1 OSF SAINT ANTHONY'S HEALTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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