SCOTT RUSSELL BROADWELL

CHARLOTTE, NC
NPI1518948561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  2008-01123)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: SC  31804)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: SC  31804)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: NC  2008-01123)
Enumeration Date2005-11-08
Last Update Date2017-12-20
Business Address
SCOTT RUSSELL BROADWELL MD
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 28202-2788
Phone number: 704-334-7800
Mailing Address
SCOTT RUSSELL BROADWELL MD
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 28202-2788
Phone number: 704-334-7800