NPI 1467459958

Paul Eugene Broderick, DO

Practitioner Colon & Rectal Surgery Physician Mooresville, IN

Practice location

Address: 1215 Hadley Rd STE 206, Mooresville, IN 46158-2905
Phone: (317) 834-1919
Fax: (317) 834-1920
Mailing address: PO Box 781076, Detroit, MI 48278-1076

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 02001623A (IN)

Other Colon & Rectal Surgery providers in Indiana →

Registry record

NPI: 1467459958
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2005
Record last updated: 14 Apr 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.