Individual
STANLEY P BRYSACZ JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6565 E GREENWAY PKWY, STE 100, SCOTTSDALE, AZ 85254-2056
(480) 348-3200
(480) 348-3210
Mailing address
6565 E GREENWAY PKWY, STE 100, SCOTTSDALE, AZ 85254-2056
(480) 348-3200
(480) 348-3210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1207
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260985
—
AZ
Enumeration date
06/30/2005
Last updated
07/08/2007
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