J. Broadwater
Surgical Oncologist
4301 W Markham St # 783
Little Rock
, Arkansas 72205-7101
J. Broadwater
Surgical Oncologist
4301 W Markham St # 783
Little Rock
, Arkansas 72205-7101
(501) 686-8000
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- J. Broadwater
- 4301 W Markham St # 783
- Little Rock, AR
- Zip : 72205-7101
- Phone : (501) 686-8000
Second Address
- J. Broadwater
- 4301 W Markham St # 783
- Little Rock, AR
- Zip : 72205-7101
- Phone : (501) 686-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | C-6025 | AR |
National Provider Identifier
| NPI | 1043300619 |
|---|---|
| Provider Name | J. Broadwater |
| First Address | Little Rock, AR 72205-7101 |
| Second Address | Little Rock, AR 72205-7101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 07/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C13778 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.