Dr John H Broaddus, OD | |
471 Park City Ctr, Lancaster, PA 17601-2711 | |
(717) 393-4042 | |
Not Available |
Full Name | Dr John H Broaddus |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 471 Park City Ctr, Lancaster, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477551133 | NPI | - | NPPES |
57761 | Other | AETNA PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001548 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr John H Broaddus, OD 471 Park City Ctr, Lancaster, PA 17601-2711 Ph: (717) 393-4042 | Dr John H Broaddus, OD 471 Park City Ctr, Lancaster, PA 17601-2711 Ph: (717) 393-4042 |
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