Organization
STEPHEN A BROUGHTON, MD PA
Active
Other names
The Broughton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A BROUGHTON M.D. (PHYSICIAN)
(870) 535-6800
Entity
Organization
Contact information
Practice address
1726 W 42ND AVE, PINE BLUFF, AR 71603-7008
(870) 535-6800
(870) 535-6805
Mailing address
1726 W 42ND AVE, PINE BLUFF, AR 71603-7008
(870) 535-6800
(870) 535-6805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E0252
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139067002
—
AR
01
—
P002036692
PALMETTO GBA PART B
—
Enumeration date
07/13/2006
Last updated
04/23/2008
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