Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC S. BROADWAY, M.D.
ActiveDR. ERIC S. BROADWAY, M.D. is a Psychiatry healthcare provider located in STIGLER, Oklahoma. NPI 1790870905 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · STIGLER, OK
Registration Details
- NPI Number
- 1790870905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.825836133677 yrs)
- Last Updated
- Nov 17, 2009
- License
-
16956 (OK)
Practice Information
- Address
-
1505 E MAIN STSTIGLER, OK, 744622913Browse OK providers · Browse ZIP 74462
- Phone
- 9189673368
- Fax
- 9189674582
- Primary Specialty
-
Psychiatry
2084P0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.