BRUCE E BROADWATER

CUMBERLAND, MD
NPI1790820710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MD  R085498)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
BRUCE E BROADWATER CRNA
924 SETON DR
CUMBERLAND, MD 21502-1851
Phone number: 301-724-0967
Mailing Address
BRUCE E BROADWATER CRNA
10861 WESTERNPORT ROAD
FROSTBURG, MD 21532
Phone number: 301-463-2490
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