| NPI | 1689766271 |
|---|---|
| Former Legal Business Name | LARRY K. BROADWELL, M.D., AMC |
| Entity Type | Organization |
| Authorized Contact | SHARON LOW DAVIS Business Manager 318-221-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: LA 13598) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-05-08 |