Julie Vang Broaddrick, FNP-C Valid NPI
Individual provider · Family Medicine Physician · Bixby, OK
- NPI
- 1609463587
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- R0118511 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-12-28
- Last updated
- 2020-12-28
Practice location
11911 S Memorial Dr
Bixby, OK 74008-2030
(918) 943-3790