Individual
DR. BRIAN S PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20325 N. 51ST AVE, BLD 8 SUITE 160, GLENDALE, AZ 85308-4622
(623) 466-6350
(602) 358-8698
Mailing address
20325 N. 51ST AVE., BLD 8 SUITE 160, GLENDALE, AZ 85308-4622
(623) 466-6350
(602) 358-8698
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3416
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
3416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461658
—
AZ
Enumeration date
01/17/2006
Last updated
04/09/2012
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