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Individual
DR. JOHN D. BROUGHTON
Active
Individual
DR. JOHN D. BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002014382
MO
207R00000X
Internal Medicine Physician
N0662
TX
208M00000X
Hospitalist Physician
Primary
2002014382
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110242252
RAILROAD MEDICARE
—
05
—
205890304
—
MO
01
—
431560263010
TRICARE
—
Enumeration date
12/05/2006
Last updated
06/08/2017
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