Individual
RANDY BRAZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2255 W NORTHERN AVE, PHOENIX, AZ 85021-4936
(602) 995-1767
(602) 995-1863
Mailing address
2255 W NORTHERN AVE STE B100, PHOENIX, AZ 85021-4936
(602) 995-1767
(602) 995-1863
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35261
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379950
—
AZ
Enumeration date
05/08/2007
Last updated
10/22/2021
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