Individual
MR. THOMAS CLINTON BROACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
834 E CATALINA CIR, FRESNO, CA 93720-0856
(559) 434-0521
Mailing address
834 E CATALINA CIR, FRESNO, CA 93720-0856
(559) 434-0521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
265333
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA 1100
CA
Other
Enumeration date
02/15/2006
Last updated
09/11/2025
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