Individual
DR. WILLIAM C BROADDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1250 E MARSHALL STREET, NEUROSURGERY, RICHMOND, VA 23298-0631
(804) 828-2437
(804) 828-4493
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101046585
VA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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