Individual
BRENDEN MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 S GREENFIELD RD STE 102, GILBERT, AZ 85296-4012
(480) 507-0700
(480) 269-9090
Mailing address
888 S GREENFIELD RD #102, GILBERT, AZ 85296-4012
(480) 507-0700
(480) 507-7477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235400
—
AZ
Enumeration date
02/06/2007
Last updated
08/02/2017
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