Individual
DR. ROBERT E BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-4122
(434) 791-4126
Mailing address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-4122
(434) 791-4088
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101051412
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010241596
—
VA
Enumeration date
05/03/2006
Last updated
11/01/2013
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