Individual
DR. BRANDON MATTHEW BROADUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
102 FONTAINBLEAU DR # D1, MANDEVILLE, LA 70471-6518
(985) 400-5300
(985) 400-5301
Mailing address
102 FONTAINBLEAU DR # D1, MANDEVILLE, LA 70471-6518
(985) 789-1720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1535
LA
Other
Enumeration date
05/25/2010
Last updated
02/17/2021
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