Individual
MARC H BRICKMAN
Active
Individual
MARC H BRICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
007470
AZ
207R00000X
Internal Medicine Physician
1126
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11267
—
SC
05
—
347441
—
AZ
01
—
Z210853
MEDICARE PTAN
AZ
Enumeration date
05/16/2006
Last updated
03/19/2018
Update your record
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