Individual
LEE S BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 E 1400 N, SUITE D, LOGAN, UT 84341
(435) 752-7122
(435) 755-9579
Mailing address
550 E 1400 N, SUITE D, LOGAN, UT 84341
(435) 752-7122
(435) 755-9579
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
731556181205
UT
Other
Enumeration date
07/12/2006
Last updated
02/20/2008
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