Individual
DR. MICHAEL BRADLEY BROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., MPH
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8221
Mailing address
PSC 78 BOX 2368, APO, AP 96326-0024
(315) 226-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
543
NE
2083A0100X
Aerospace Medicine Physician
Primary
543
NE
Other
Enumeration date
09/25/2006
Last updated
08/02/2023
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