Individual
DR. EMMETT H BROXSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3111
(937) 641-5885
Mailing address
7570 DEEP WOODS CT, SPRINGBORO, OH 45066-8570
(937) 748-4534
(937) 641-5885
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35056878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828715
BCMH
OH
05
—
0828715
—
OH
01
—
35056878
LICENSE
ND
Enumeration date
08/22/2006
Last updated
03/07/2023
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