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1326194036
LARRY K BROADWELL
SHREVEPORT, LA
NPI
1326194036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: LA 013598)
Enumeration Date
2007-01-26
Last Update Date
2007-11-16
Business Address
-- LARRY K BROADWELL MD
820 JORDAN ST SUITE 201
SHREVEPORT, LA 71101-4518
Phone number: 318-221-0399
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Mailing Address
-- LARRY K BROADWELL MD
820 JORDAN ST SUITE 201
SHREVEPORT, LA 71101-4518
Phone number: 318-221-0399
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