Individual
BRENDA DENNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 N 12TH ST, SUITE 608, PHOENIX, AZ 85006-2848
(602) 254-5321
(602) 254-6582
Mailing address
3020 E CAMELBACK RD, SUITE 301, PHOENIX, AZ 85016-5059
(602) 254-5321
(602) 254-6582
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
21159
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334681
—
AZ
Enumeration date
10/07/2005
Last updated
02/16/2017
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