Individual
SAVANNAH MARTHA BROADLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP61471452
WA
208M00000X
Hospitalist Physician
Primary
OP61471452
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165838
—
WA
Enumeration date
04/07/2020
Last updated
02/11/2025
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