Organization
TARA L BRODKIN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L BRODKIN-GAUER MD (MEMBER MANAGER)
(480) 860-2322
Entity
Organization
Contact information
Practice address
9070 E DESERT COVE AVE, STE 102, SCOTTSDALE, AZ 85260-6227
(480) 860-2322
(480) 860-2433
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(318) 424-4008
(855) 230-1466
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
12/22/2017
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