Individual
BRANDON GIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1880 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 253-4570
Mailing address
13555 W MCDOWELL RD STE 205, GOODYEAR, AZ 85395-2626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
300810
AZ
Other
Enumeration date
11/23/2023
Last updated
03/18/2024
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