Clay Burt Broadwell
Clay Burt Broadwell is a Community/Behavioral Health Agency in Bismarck, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2130 S 12th St Apt 137Bismarck, ND 58504-3144
Phone: (701) 840-1506
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1225868797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2024 |
| Last updated in NPPES | August 7, 2024 |
| Certification date | August 7, 2024 |
| Mailing address | 2130 S 12th St Apt 137, Bismarck, ND 58504-3144 |
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