Individual
DON R BROADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 W NORFOLK AVE STE 201, NORFOLK, NE 68701-5221
(402) 379-2030
Mailing address
333 W NORFOLK AVE STE 201, NORFOLK, NE 68701-5221
(402) 379-2030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391894354
—
NE
Enumeration date
06/04/2021
Last updated
06/04/2021
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