Individual
DR. JEROMY BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6040 N 7TH ST STE 105, PHOENIX, AZ 85014-1803
(602) 277-7430
(602) 279-5333
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
31491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793910
—
AZ
Enumeration date
03/23/2006
Last updated
06/21/2021
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