Individual
ANN BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8283
(319) 384-7723
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8283
(319) 384-7723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26120
IA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
26120
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140038
—
IA
01
—
27480
WELLMARK BCBS
IA
Enumeration date
10/07/2005
Last updated
11/17/2014
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