Individual provider · Type 1 NPI

Landon Broome, PA STUDENT

Student in an Organized Health Care Education/Training Program · Mobile, AL

NPI number 1053288480 Active

Practice location

307 N University Blvd
Mobile, AL 36688-3053

Call (251) 460-6101 Map

Mailing address

375 Hillcrest Rd Apt P205
Mobile, AL 36608-3887

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053288480

Landon Broome, PA STUDENT's National Provider Identifier is 1053288480, issued on Oct 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mobile, AL. The record was last updated on Oct 21, 2025.