Broom, Matthew A

Broom, Matthew A is an individual health care provider with primary practice located at 1465 S Grand Blvd , St. Louis MO 63104-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Broom, Matthew A can be contacted via phone (314) 268-4070.

Contact Information

Primary practice address
1465 S Grand Blvd St. Louis MO 63104-1003
Phone: (314) 268-4070
Fax: (314) 268-4021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2006004155 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006004155 Missouri

Profile Details

NPI number 1114967767
LBN Legal business name Broom, Matthew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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