Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Broderich Alexander Durley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609415116

Broderich Alexander Durley is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

14235 Oakley Dr
Riverside, CA 92503-7236
Phone: (951) 231-3916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609415116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 31, 2019
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address14235 Oakley Dr, Riverside, CA 92503-7236

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