Individual
DR. ALAN J BROADHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 3 AVE NE, JAMESTOWN, ND 58401
(701) 252-6300
(701) 253-6400
Mailing address
517 3 AVE NE, JAMESTOWN, ND 58401
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5902
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024470
BCBS PROVIDER NUMBER
ND
Enumeration date
08/19/2006
Last updated
03/07/2023
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