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Individual

TARA NICOLE BRZEZINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 N SAN FRANCISCO ST STE B, FLAGSTAFF, AZ 86001-3260
(928) 779-7851
(928) 213-9990
Mailing address
PO BOX 81064, CLEVELAND, OH 44181-0064
(520) 795-8080
(520) 323-6237

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10615
AZ
363A00000X
Physician Assistant
62351
CA

Other

Enumeration date
01/09/2023
Last updated
07/14/2026
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