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Individual

DAVID G BRACHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 W THOMAS RD, ST JOES RAD/ONC DEPT, PHOENIX, AZ 85013-4409
(602) 406-3170
(602) 406-4146
Mailing address
PO BOX 41700, PHOENIX, AZ 85080-1700
(602) 274-4484
(602) 240-3539

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
23852
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
342387
AHCCCS
AZ
Enumeration date
04/14/2006
Last updated
02/11/2013
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