Individual
DR. BRANDON K SUEDEKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3815 E BELL RD, SUITE 2500, PHOENIX, AZ 85032-2122
(602) 258-4321
(623) 889-2450
Mailing address
3815 E BELL RD, SUITE 2500, PHOENIX, AZ 85032-2122
(602) 258-4321
(623) 889-2450
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME93606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111212
MEDICARE ID
AZ
01
—
35451
AZ MEDICAL STATE LICENSE
AZ
Enumeration date
05/18/2006
Last updated
07/13/2012
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