# DR. JOSHUA ALAN BROGHAMMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689703639
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 04-33094 | KS | — |
| 208800000X | Urology Physician | 2008018539 | MO | — |
| 208800000X | Urology Physician | MD00047512 | WA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 07/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8475717 | — | WA |