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Individual

DR. BRENT BJORNSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9827 N 95TH ST STE 105, SCOTTSDALE, AZ 85258
(480) 860-8488
Mailing address
9827 N 95TH ST STE 105, SCOTTSDALE, AZ 85258-4591
(480) 860-8488

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56068
AZ
208000000X
Pediatrics Physician
R3476
TX
2080S0010X
Pediatric Sports Medicine Physician
56068
AZ

Other

Enumeration date
04/09/2014
Last updated
07/11/2018
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