William Gowing Broad, MD
Family Medicine in Los Gatos, CA. Individual provider (NPI-1).
NPI number1750374591
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1750374591
- Entity type
- Individual (NPI-1)
- Name
- William Gowing Broad
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2005
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G67157 | CA | Yes |
Practice location
15425 Los Gatos Blvd Ste 120Los Gatos, CA 95032-2541
Phone 408-340-5700
Mailing address
15425 Los Gatos Blvd Ste 120Los Gatos, CA 95032-2541
Phone 408-340-5700
Other practice locations
143 E Main St
Los Gatos, CA 95030-6903
Los Gatos, CA 95030-6903
Phone 408-354-3920 · Fax 408-354-0782
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