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Individual

DR. BRANDON K ERNST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4111 N 24TH ST, PHOENIX, AZ 85016-6222
(602) 381-0696
(602) 381-1589
Mailing address
4111 N 24TH ST, PHOENIX, AZ 85016-6222
(602) 381-0696
(602) 381-1589

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016256
AZ

Other

Enumeration date
01/15/2010
Last updated
01/15/2010
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