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Individual

DR. BRENDAN P GIRSCHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4826
(928) 779-0500
(602) 508-4830
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 231-6215

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
39182
IA
207W00000X
Ophthalmology Physician
44844
TN
207W00000X
Ophthalmology Physician
Primary
67737
AZ
207W00000X
Ophthalmology Physician
ME140484
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
67737
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD-39182
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194915710
IA
05
145884
AZ
01
3041625
MEDICARE PTAN
TN
01
719270026
MEDICARE PTAN
IA
Enumeration date
07/30/2007
Last updated
11/16/2022
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