NPI 1003940032

Walter G Broadnax, MD

Practitioner Pain Medicine (Psychiatry & Neurology) Physician Cincinnati, OH

Practice location

Address: 5505 Fair Ln, Cincinnati, OH 45227-3401
Phone: (513) 421-7246
Fax: (513) 421-7796
Mailing address: 1220 Paddock Hills Ave, Cincinnati, OH 45229-1218

Registered specialties

Pain Medicine (Psychiatry & Neurology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P2900X Licence 35060685 (OH)

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Registry record

NPI: 1003940032
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.