Individual
J THOMAS BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3440 RIVERSIDE DR, UPPER ARLINGTON, OH 43221-1743
(614) 459-0077
(614) 459-3355
Mailing address
3440 RIVERSIDE DR, UPPER ARLINGTON, OH 43221-1743
(614) 459-0077
(614) 459-3355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-039714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315680
—
OH
Enumeration date
04/07/2006
Last updated
06/01/2011
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