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1043300619
J. BROADWATER
LITTLE ROCK, AR
NPI
1043300619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086X0206X Surgery, Surgical Oncology
(Licence: AR C-6025)
Enumeration Date
2006-10-13
Last Update Date
2008-01-07
Business Address
J. BROADWATER MD
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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Mailing Address
J. BROADWATER MD
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
Copy
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