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LARRY K. BROADWELL M.D. A MEDICAL CORPORATION NPI 1689766271


NPI Information

NPI: 1689766271
Provider Name: LARRY K. BROADWELL, M.D., A MEDICAL CORPORATION
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
820 JORDAN
SUITE 201
SHREVEPORT, LA
ZIP 71101
Phone: (318) 221-0399
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LARRY K. BROADWELL, M.D., A MEDICAL CORPORATION is a rheumatology internal medicine in Shreveport, LA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. LARRY K. BROADWELL, M.D., A MEDICAL CORPORATION NPI is 1689766271. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

820 JORDAN
SUITE 201
SHREVEPORT, LA
ZIP 71101
Phone: (318) 221-0399
Fax: (318) 221-1940

The provider's authorized official is Larry K. Broadwell .
The authorized official title is Ceo and has the following contact phone number (318) 221-0399.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatology13598LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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