Individual
MRS. LEIGH STACEY FIELDS BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 E ST SW, WASHINGTON, DC 20024-3242
(202) 698-9021
(202) 698-9103
Mailing address
401 E ST SW, WASHINGTON, DC 20024-3242
(202) 698-9021
(202) 698-9103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA030414
DC
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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