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1871533836
PAUL W BROADBENT
PROVO, UT
NPI
1871533836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: UT 3130701205)
Enumeration Date
2006-06-07
Last Update Date
2013-10-15
Business Address
-- PAUL W BROADBENT MD
1034 NORTH 500 WEST
PROVO, UT 84604
Phone number: 801-373-7850
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Mailing Address
-- PAUL W BROADBENT MD
PO BOX 10
SPANISH FORK, UT 84660-0010
Phone number: 866-898-7136
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