Individual
BRENNAN MONTGOMERY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37895
AZ
390200000X
Student in an Organized Health Care Education/Training Program
M5572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355753
—
AZ
Enumeration date
05/26/2007
Last updated
12/21/2021
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