Organization
COMPREHENSIVE BREAST CENTER OF ARIZONA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVAKAMI BRENDA MOORTHY MD (OWNER)
(480) 545-2610
Entity
Organization
Contact information
Practice address
9179 W THUNDERBIRD RD # 103, PEORIA, AZ 85381-4875
(480) 545-2610
(480) 545-2673
Mailing address
9179 W THUNDERBIRD RD # 103, PEORIA, AZ 85381-4875
(480) 545-2610
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
12/04/2007
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