Whalio Doctors

NPI 1043507205

Talmage Jay Broadbent, MDPHD

Practitioner Ophthalmic Plastic and Reconstructive Surgery Physician Spokane, WA

Practice location

Address
626 S. Sheridan St, Spokane, WA 99202-1325
Phone
(509) 279-2176
Fax
(509) 279-2941

Registered specialties (2)

Ophthalmic Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence MD60704061 (WA)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 58899 (MN)

Registry record

NPI
1043507205
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jul 2011
Record last updated
8 Feb 2023

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.