Individual
BRENNER FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 W BROWN RD, MESA, AZ 85201-3227
(602) 470-5000
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
62965
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10093766-1205
STATE OF UTAH PHYSICIAN AND SURGEON LICENSE
UT
Enumeration date
03/28/2015
Last updated
10/28/2021
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