Individual
BARRY BROADNAX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 IRVING ST NW STE 4200, WASHINGTON, DC 20010-2972
(202) 877-2200
Mailing address
511 GRESHAM PL NW, WASHINGTON, DC 20059-1010
(276) 806-5971
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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