Individual
ROGER D BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5420 HIGHWAY 90 W, TILLMAN'S CORNER, MOBILE, AL 36619-4216
(251) 660-1505
(251) 660-9007
Mailing address
4258 TAURUS DR, MOBILE, AL 36693-4657
(251) 661-9866
(256) 350-7757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH4694
AL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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