Individual
DR. ANTHONY LEE BROGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 BROAD ST, KINGSPORT, TN 37660-3718
(423) 246-6251
(423) 246-7230
Mailing address
822 BROAD ST, KINGSPORT, TN 37660-3718
(423) 246-6251
(423) 246-7230
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
010808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007574258
—
VA
01
—
0213340004
DMERC
—
01
—
043070
ANTHEM
VA
01
—
2003575
BLUECROSS BLUESHIELD
TN
01
—
62086999803
JOHN DEERE
—
Enumeration date
05/16/2006
Last updated
07/23/2008
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