Individual provider · Type 1 NPI
Vickie Sue Broderick, PA
Medical Physician Assistant · Galveston, TX
NPI number
1700902665
Active
Practice location
301 University Blvd
Galveston, TX 77555-5302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA00728 (TX) |
Medical Physician Assistant: Definition to come...
1,664 other providers at this address
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About NPI 1700902665
Vickie Sue Broderick, PA's National Provider Identifier is 1700902665, issued on Mar 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Galveston, TX. The record was last updated on May 18, 2009.