Individual
DR. GREGORY BRODERICK-VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 HAWTHORNE AVE, 101, OAKLAND, CA 94609-3107
(510) 465-5523
Mailing address
2345 COUNTRY HILLS DR, ANTIOCH, CA 94509-7319
(925) 418-0278
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A82944
CA
Other
Enumeration date
06/28/2006
Last updated
12/27/2021
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