Individual
BRENNEN KYLE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 N. MCCLINTOCK DR., PHOENIX RISING STADIUM: ATTN BRENNEN HODGE, SCOTTSDALE, AZ 85257-8525
(480) 622-2969
Mailing address
751 NORTH MCCLINTOCK DRIVE, SCOTTSDALE, AZ 85257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1339
AZ
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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