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Contact Information

JAN B BERNHISEL BROADBENT, MD
5323 S WOODROW ST
MURRAY, UT84107-5841
 Phone: 801-965-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for JAN B BERNHISEL BROADBENT · (Female)

NPI Number 1265487300
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 10/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 2673071205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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