Individual
DR. CORRIE D BROUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1539
(619) 446-1569
Mailing address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1539
(619) 446-1569
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A82832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC18880F
MEDI CAL
—
Enumeration date
09/16/2006
Last updated
01/10/2014
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