Search › Arizona › 208G00000X
Brett Broussard, MD
NPI 1669606422 · on the registry since 2009
Practice
- Address
- Banner Boswell Surgical Oncology
13188 N. 103rd Drive, Suite 200
Sun City, AZ 85351 - Phone
- (623) 832-3444
- Fax
- (623) 832-3470
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 390200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona