Individual
BRANDI L DIDOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Mailing address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7224
AZ
363AM0700X
Medical Physician Assistant
Primary
7224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469444
—
AZ
Enumeration date
08/12/2018
Last updated
10/10/2025
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