National Provider Identifier Database

J BROADWATER, MD – NPI #1043300619
Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.


Contact Information

J BROADWATER, MD
4301 W MARKHAM ST # 783
LITTLE ROCK, AR72205-7101
Phone: 501-686-8000
Fax:
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for J BROADWATER

NPI Number 1043300619
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 01/07/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • AR License #: C-6025
Hospital affiliation n/a

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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