Individual
BRENDA C PEART
Active
Individual
BRENDA C PEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16682
AZ
207RC0000X
Cardiovascular Disease Physician
16682
AZ
207RI0011X
Interventional Cardiology Physician
Primary
16682
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291790
—
AZ
01
—
P00958363
RR MEDICARE
AZ
Enumeration date
06/24/2005
Last updated
11/01/2018
Update your record
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