Individual
PAUL DUSTIN BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2201 CIVIC CIR, SUITE 503, AMARILLO, TX 79109-1817
(800) 480-1819
Mailing address
1248 CARPAZI CT, APT 4, NAPLES, FL 34105-4968
(801) 830-8299
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
817054
TX
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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