Individual
RYAN C BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(619) 290-0536
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A124721
CA
Other
Enumeration date
10/12/2011
Last updated
07/26/2018
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