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Individual

BRANDON E DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
6622 N 40TH ST, PARADISE VALLEY, AZ 85253-3256
(602) 770-8525
Mailing address
6622 N 40TH ST, PARADISE VALLEY, AZ 85253-3256
(602) 770-8525
(480) 428-0475

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
03/29/2010
Last updated
02/16/2023
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