Individual
IAN KAY BRIMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4830 HIGHWAY 260, STE 103, LAKESIDE, AZ 85929-5845
(928) 537-8777
(928) 537-1914
Mailing address
4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929-5851
(928) 537-8777
(928) 537-1456
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
191513
AK
207X00000X
Orthopaedic Surgery Physician
4782
AZ
207X00000X
Orthopaedic Surgery Physician
5101015602
MI
Other
Enumeration date
07/23/2007
Last updated
02/25/2026
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