Individual
BROOKE ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1635 N GREENFIELD RD, MESA, AZ 85205-4005
(480) 840-3075
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 423-4670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6303
AZ
Other
Enumeration date
12/31/2015
Last updated
02/20/2016
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