Individual
DR. MATTHEW BAIRD BROUGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 HIGH ST, DEPT OF EMERGENCY MEDICINE, BUFFALO, NY 14203-1126
(716) 859-1499
Mailing address
3329 S FELLET CT, LAKEWOOD, CO 80227-5301
(303) 524-2798
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0052577
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2010
Last updated
07/31/2013
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