Brodmor Inc | |
822 E Western Reserve Rd Youngstown OH 44514-3359 | |
(330) 726-7330 | |
(330) 726-8620 |
Full Name | Brodmor Inc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 822 E Western Reserve Rd, Youngstown, Ohio |
Authorized Official Name and Position | Gary D Broderick (PRESIDENT) |
Authorized Official Contact | 3307267330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brodmor Inc 822 E Western Reserve Rd Youngstown OH 44514-3359 Ph: (330) 726-7330 | Brodmor Inc 822 E Western Reserve Rd Youngstown OH 44514-3359 Ph: (330) 726-7330 |
NPI Number | 1518088483 |
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Provider Enumeration Date | 04/02/2007 |
Last Update Date | 01/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518088483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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