Individual
DR. BRIAN A MAYERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 469-8011
(520) 469-8021
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724288
—
AZ
Enumeration date
10/19/2005
Last updated
10/10/2008
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