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Individual

SUSAN ELIZABETH BRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2040 W BETHANY HOME RD STE 123, PHOENIX, AZ 85015-2445
(480) 840-1754
(480) 840-1764
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3838
(602) 633-3845

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2488
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
834312
AZ
Enumeration date
01/12/2007
Last updated
04/17/2019
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