Individual
THOMAS BRENT STRAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9515 W CAMELBACK RD, SUITE 106, PHOENIX, AZ 85037
(623) 581-8346
(623) 581-8347
Mailing address
19420 N 59TH AVE, SUITE B233, GLENDALE, AZ 85308-6894
(623) 234-2542
(623) 234-2543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27620
AZ
208D00000X
General Practice Physician
Primary
27620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273316090
TAX ID
AZ
Enumeration date
09/30/2010
Last updated
10/15/2020
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