Dr STEPHEN MATTHEW BROADDUS is a male medical professional, specializing in Physician Assistant. He graduated in 2012 from Saint Louis University School Of Medicine.
GRANITE CITY HOSPITALIST SERVICES LLC
2100 MADISON AVE
GRANITE CITY
IL
620404713
Tel: 6188331691
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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