Individual provider · Type 1 NPI

Kevin Stanley Broaddrick, DPM

Podiatrist · Peoria, AZ

NPI number 1639188394 Active

Practice location

6739 W Cactus Rd
Peoria, AZ 85381-5311

Call (833) 242-0100 Map

Fax (602) 805-4745

Mailing address

3149 E Hazeltine Way
Chandler, AZ 85249-9066

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000XPOD-000814 (AZ)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1639188394

Kevin Stanley Broaddrick, DPM's National Provider Identifier is 1639188394, issued on Aug 5, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Peoria, AZ. The record was last updated on Aug 11, 2023.