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Individual

JUSTIN B MCBRIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 251-8100
Mailing address
20489 E PECAN LN, QUEEN CREEK, AZ 85142-5092
(480) 214-3012

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN117466
AZ

Other

Enumeration date
07/13/2006
Last updated
01/19/2012
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