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BARRY KEITH BROADFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
201 AVALON AVE, MUSCLE SHOALS, AL 35661-2805
(256) 768-9191
(256) 768-9775
Mailing address
PO BOX 10005, FLORENCE, AL 35631-2005
(256) 768-9191
(256) 768-9775

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-040488
AL

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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