NPI 1598837031 · live from the CMS NPI Registry
Anne L Broadway, M.D.
Family Medicine in Idaho Falls, ID. National Provider Identifier 1598837031, active.
NPI record
| NPI | 1598837031 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2730 Channing Way, Idaho Falls, ID 83404 |
| Practice phone | 208-542-7100 |
| Enumerated | November 13, 2006 |
| Last updated | April 3, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 0101255431 (VA) |
| Family Medicine | 207Q00000X | MED-PHYS-LIC-34391 (MT) |
| Family Medicine primary | 207Q00000X | M-11017 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.