| Stephen M Broaddus, PA | |
|
6800 State Route 162, Maryville, IL 62062-8500 | |
| (618) 267-0401 | |
| Not Available |
| Full Name | Stephen M Broaddus |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6800 State Route 162, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033452107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 101441 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 085005004 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Broaddus, PA 1212 Shenandoah Ave, Apt A, Saint Louis, MO 63104-4121 Ph: (618) 267-0401 | Stephen M Broaddus, PA 6800 State Route 162, Maryville, IL 62062-8500 Ph: (618) 267-0401 |
Mrs. Mallory Jean Henson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 | |
Mr. Alan Michael Meredith, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 21, Maryville, IL 62062 Phone: 618-288-5566 Fax: 618-288-4005 | |
Michael Barajas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 120, Maryville, IL 62062 Phone: 618-288-0044 Fax: 618-288-0066 | |
Mrs. Christine Werner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 618-288-0656 | |
Jessica Leigh Gibson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2704 N Center St, Maryville, IL 62062 Phone: 270-556-8641 | |
Jessica Nussbaum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6812 State Route 162 Ste 120, Maryville, IL 62062 Phone: 618-288-0044 |