Individual
DAVID E BROUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 WASHINGTON SQUARE, EVANSVILLE, IN 41175
(812) 479-6907
(812) 479-6967
Mailing address
1231 WASHINGTON SQUARE, EVANSVILLE, IN 41175
(812) 479-6907
(812) 479-6967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036960A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000519145
ANTHEM BC/BS
IN
05
—
100375500
—
IN
Enumeration date
01/20/2006
Last updated
01/29/2014
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