Organization
JUSTIN BRANDAU D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN EDWARD BRANDAU D.C. (PRESIDENT)
(602) 954-0311
Entity
Organization
Contact information
Practice address
4500 N 32ND ST, SUITE 102, PHOENIX, AZ 85018-3396
(602) 954-0311
(602) 954-0339
Mailing address
4500 N 32ND ST, SUITE 102, PHOENIX, AZ 85018-3396
(602) 954-0311
(602) 954-0339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160210
—
AZ
Enumeration date
08/05/2007
Last updated
08/05/2007
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