Individual provider · Type 1 NPI

Jeremy Broadhurst, DO

Family Medicine Physician · Providence, UT

NPI number 1114115664 Active

Practice location

190 S Highway 165
Providence, UT 84332-9512

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X6681706-1204 (UT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1114115664

Jeremy Broadhurst, DO's National Provider Identifier is 1114115664, issued on Oct 10, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Providence, UT. The record was last updated on Mar 5, 2012.