Broadfoot, Brannon G

Broadfoot, Brannon G is an individual health care provider with primary practice located at 4301 W Markham St # 774 , Little Rock AR 72205-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Broadfoot, Brannon G can be contacted via phone (501) 686-5170.

Contact Information

Primary practice address
4301 W Markham St # 774 Little Rock AR 72205-7101
Phone: (501) 686-5170
Fax: (501) 686-7155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E15530 Arkansas
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X E-15530 Arkansas

Profile Details

NPI number 1073045407
LBN Legal business name Broadfoot, Brannon G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Sep 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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