# TARA L BRODKIN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013459700
- **Authorized official:** TARA L BRODKIN-GAUER MD (MEMBER MANAGER)
- **Authorized official phone:** (480) 860-2322

## Contact information

- **Practice address:** 9070 E DESERT COVE AVE, STE 102, SCOTTSDALE, AZ 85260-6227
- **Practice address phone:** (480) 860-2322
- **Practice address fax:** (480) 860-2433
- **Mailing address:** PO BOX 64568, PHOENIX, AZ 85082-4568
- **Mailing address phone:** (318) 424-4008
- **Mailing address fax:** (855) 230-1466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2016
- **Last updated:** 12/22/2017