PAUL W BROUSSARD CNA

OTERO COUNTY HOSPITAL ASSOCIATION

Dr PAUL W BROUSSARD CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 1985.

Contact

OTERO COUNTY HOSPITAL ASSOCIATION

2669 SCENIC DR
ALAMOGORDO
NM
883108700

Tel: 5054396100

PAUL W BROUSSARD CNA Information

Npi 1609962612
Pac Id 1153304225
Professional Enrollment Id I20110823000147
Last Name BROUSSARD
First Name PAUL
Middle Name W
Suffix
Gender M
Credential CNA
Medical School Name OTHER
Graduation Year 1985
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name OTERO COUNTY HOSPITAL ASSOCIATION
Group Practice Pac Id 3173516606
Number Of Group Practice Members 89
Line 1 Street Address 2669 SCENIC DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALAMOGORDO
State NM
Zip Code 883108700
Phone Number 5054396100
Hospital Affiliation Ccn 1 320004
Hospital Affiliation Lbn 1 GERALD CHAMPION REGIONAL MEDICAL 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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