Individual provider · Type 1 NPI

Broderich Alexander Durley

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1609415116 Active

Practice location

14235 Oakley Dr
Riverside, CA 92503-7236

Call (951) 231-3916 Map

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 1609415116

Broderich Alexander Durley's National Provider Identifier is 1609415116, issued on Dec 31, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Dec 31, 2019.