TAYLOR J BROUGHTON

DEER PARK FAMILY CARE CLINIC PS

Dr TAYLOR J BROUGHTON is a male medical professional, specializing in Physician Assistant. He graduated in 2016.

Contact

DEER PARK FAMILY CARE CLINIC PS

905 E D ST
DEER PARK
WA
990065167

Tel: 5092765005

TAYLOR J BROUGHTON Information

Npi 1952758187
Pac Id 4385923051
Professional Enrollment Id I20161121001221
Last Name BROUGHTON
First Name TAYLOR
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DEER PARK FAMILY CARE CLINIC PS
Group Practice Pac Id 1759271836
Number Of Group Practice Members 6
Line 1 Street Address 905 E D ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DEER PARK
State WA
Zip Code 990065167
Phone Number 5092765005
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
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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