Individual provider · Type 1 NPI

Kevin Wayne Broder, MD

Plastic Surgery Physician · San Diego, CA

NPI number 1205885902 Active

Practice location

4510 Executive Drive, Suite 200
San Diego, CA 92121

Fax (858) 453-7268

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	A82409 (CA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1205885902

Kevin Wayne Broder, MD's National Provider Identifier is 1205885902, issued on May 9, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 5, 2012.