Individual
VIRGINIA C BROUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3241
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00022988
WA
207ZH0000X
Hematology (Pathology) Physician
MD00022988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194801811
—
WA
01
—
7348
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
830004586
RAIL ROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
11/22/2013
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