Individual
MICHAEL BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 S BEVERLY DR, SUITE 404, BEVERLY HILLS, CA 90212-3907
(310) 858-9555
(310) 858-9552
Mailing address
280 S BEVERLY DR, SUITE 404, BEVERLY HILLS, CA 90212-3907
(310) 858-9555
(310) 858-9552
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A52301
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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