Organization
BRENDA MOORTHY DO PLLC
Active
Other names
Comprehensive Breast Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
S BRENDA MOORTHY D.O. (OWNER)
(602) 374-3440
Entity
Organization
Contact information
Practice address
9179 W THUNDERBIRD RD, STE 101, PEORIA, AZ 85381-4912
(602) 374-3440
(602) 374-3441
Mailing address
5150 N 16TH ST, STE B232, PHOENIX, AZ 85016-3990
(602) 374-3440
(602) 374-3441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4264
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573751
—
AZ
Enumeration date
11/11/2010
Last updated
02/04/2014
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