Individual
CAROL B BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 728-3753
(480) 728-3305
Mailing address
8501 S TERRACE RD, TEMPE, AZ 85284-2442
(480) 768-9784
(480) 768-9785
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
909228
—
AZ
Enumeration date
01/13/2006
Last updated
07/08/2007
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