PETER BRODERICK

MODESTO, CA
NPI1285645002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G63629)
Enumeration Date2006-08-10
Last Update Date2015-07-22
Business Address
Dr. PETER BRODERICK M.D., M.Ed.
401 PARADISE RD SUITE E
MODESTO, CA 95351-3104
Phone number: 209-558-4000
Mailing Address
Dr. PETER BRODERICK M.D., M.Ed.
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071