# ROBERTO I. BRACAMONTE, M.D., P.C.

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

## Provider details

- **NPI number:** 1780979740
- **Authorized official:** DR. ROBERTO IGOR BRACAMONTE VALENCIA M.D. (PRESIDENT)
- **Authorized official phone:** (602) 350-3046

## Contact information

- **Practice address:** 301 W ECHO LN BLDG B, PHOENIX, AZ 85021-5554
- **Practice address phone:** (602) 350-3046
- **Mailing address:** 301 W ECHO LN, PHOENIX, AZ 85021-5554
- **Mailing address phone:** (602) 350-3046
- **Mailing address fax:** (866) 845-1832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 42622 | AZ | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 04/03/2025