Dr BRYAN KENT BROADBENT DPM is a male medical professional, specializing in Podiatry. He graduated in 2003.
NICHOLAS L HUGENTOBLER PC
517 E NIZHONI BLVD
GALLUP
NM
873015757
Tel: 5053262255
| Npi | 1215011218 |
| Pac Id | 7719082098 |
| Professional Enrollment Id | I20181016004023 |
| Last Name | BROADBENT |
| First Name | BRYAN |
| Middle Name | KENT |
| Suffix | |
| Gender | M |
| Credential | DPM |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | NICHOLAS L HUGENTOBLER PC |
| Group Practice Pac Id | 0547414351 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 517 E NIZHONI BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GALLUP |
| State | NM |
| Zip Code | 873015757 |
| Phone Number | 5053262255 |
| Hospital Affiliation Ccn 1 | 320005 |
| Hospital Affiliation Lbn 1 | SAN JUAN REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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