Whalio Doctors

NPI 1265467567

Lee S Broadbent, MD

Practitioner Surgery Physician Logan, UT

Practice location

Address
550 E 1400 N Suite D, Logan, UT 84341
Phone
(435) 752-7122
Fax
(435) 755-9579

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 731556181205 (UT)

Registry record

NPI
1265467567
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jul 2006
Record last updated
20 Feb 2008

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.