Individual
PERRY A. BRAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3815 E BELL RD STE 2100, PHOENIX, AZ 85032-2134
(602) 726-8805
(602) 944-4147
Mailing address
3815 E BELL RD STE 2100, PHOENIX, AZ 85032-2134
(602) 726-8805
(602) 944-4147
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585848
—
AZ
Enumeration date
10/06/2010
Last updated
07/21/2022
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