Individual
DR. JOSHUA ALAN BROGHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3016, KANSAS CITY, KS 66160-0001
(913) 588-6982
(913) 588-7625
Mailing address
3901 RAINBOW BLVD, MAIL STOP 3016, KANSAS CITY, KS 66160-0001
(913) 588-6982
(913) 588-7625
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
04-33094
KS
208800000X
Urology Physician
2008018539
MO
208800000X
Urology Physician
Primary
MD00047512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8475717
—
WA
Enumeration date
03/05/2007
Last updated
07/02/2008
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