Search › Oklahoma › 246ZC0007X
Staci Broughton
NPI 1962847822 · on the registry since 2013
Practice
- Address
- 5101 N 34th St
Broken Arrow, OK 74014 - Phone
- (918) 605-6796
Registry record
- Primary taxonomy
- 246ZC0007X
246ZC0007X
- Also registered as
- 246ZS0410X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-15
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 Oklahoma