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Individual

DR. DEAN CLARK BRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6422 E SPEEDWAY BLVD, SUITE 100, TUCSON, AZ 85710-1148
(520) 325-9400
(520) 325-8965
Mailing address
6422 E SPEEDWAY BLVD, SUITE 100, TUCSON, AZ 85710-1148
(520) 325-9400
(520) 325-8965

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12366
AZ
207W00000X
Ophthalmology Physician
G35524
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220921
AZ
Enumeration date
10/02/2006
Last updated
11/21/2007
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