Leigh Stacey Fields Broadbent, PA-C
Physician Assistant in Washington, DC. Individual provider (NPI-1).
NPI number1659929834
StatusActive
Last updated in NPPESAug 30, 2019
Details
- NPI
- 1659929834
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leigh Stacey Fields Broadbent
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2019
- Last updated
- Aug 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA030414 | DC | Yes |
Other names
- Leigh Stacey Fields (Former Name)
Practice location
401 E St SwWashington, DC 20024-3242
Phone 202-698-9021 · Fax 202-698-9103
Mailing address
401 E St SwWashington, DC 20024-3242
Phone 202-698-9021 · Fax 202-698-9103
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