BARRY KEITH BROADFOOT

MUSCLE SHOALS, AL
NPI1740218411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-040488)
Enumeration Date2006-06-29
Last Update Date2007-07-08
Business Address
-- BARRY KEITH BROADFOOT CRNA
201 AVALON AVE
MUSCLE SHOALS, AL 35661-2805
Phone number: 256-768-9191
Mailing Address
-- BARRY KEITH BROADFOOT CRNA
PO BOX 10005
FLORENCE, AL 35631-2005
Phone number: 256-768-9191
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