Individual
DR. CARL BRONITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1780 E FLORENCE BLVD STE 108, CASA GRANDE, AZ 85122-4782
(520) 381-6758
(520) 381-6040
Mailing address
1780 E FLORENCE BLVD STE 108, CASA GRANDE, AZ 85122-4782
(520) 381-6758
(520) 381-6040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30960
AZ
207V00000X
Obstetrics & Gynecology Physician
33983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739716
—
AZ
Enumeration date
04/14/2006
Last updated
05/04/2015
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