Individual
DWAYNE BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
4807 E GREENWAY RD STE 3, SCOTTSDALE, AZ 85254-9608
(602) 765-7800
Mailing address
4807 E GREENWAY RD STE 3, SCOTTSDALE, AZ 85254-9608
(602) 765-7800
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADE9268
AZ
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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