Individual
IZAH BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 ALDERSGATE RD, LITTLE ROCK, AR 72205-7018
(501) 906-4250
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
01/07/2025
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