Individual
DR. MARK BROADHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 W 2ND STREET, #216, RENO, NV 89503-5345
(775) 784-6388
(775) 784-1428
Mailing address
401 W 2ND STREET, 227, RENO, NV 89503-5345
(775) 784-1223
(775) 327-2006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9565
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016871
—
NV
Enumeration date
08/30/2006
Last updated
02/08/2011
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