Individual
BROOKS KV HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
320 E MCDOWELL RD STE 221A, PHOENIX, AZ 85004-4516
(480) 618-6277
Mailing address
14606 E LARKSPUR DR, SCOTTSDALE, AZ 85259-2105
(808) 990-0596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8866
AZ
Other
Enumeration date
03/28/2017
Last updated
03/04/2023
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