Individual provider · Type 1 NPI

Mary E. Broughton, PA-C

Medical Physician Assistant · Crystal, MN

NPI number 1487844734 Active

Practice location

5109 36th Ave N
Crystal, MN 55422-2007

Call (763) 587-7900 Map

Fax (763) 587-7989

Mailing address

9201 W Broadway Ave Ste 601
Brooklyn Park, MN 55445-1924

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10288 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1487844734

Mary E. Broughton, PA-C's National Provider Identifier is 1487844734, issued on Aug 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Crystal, MN. The record was last updated on Nov 7, 2022.