Organization
IAN BRIMHALL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN BRIMHALL DO (OWNER)
(928) 537-8777
Entity
Organization
Contact information
Practice address
4830 HIGHWAY 260, STE 103, LAKESIDE, AZ 85929-5845
(928) 537-8777
(928) 537-1914
Mailing address
4830 HIGHWAY 260, STE 103, LAKESIDE, AZ 85929-5845
(928) 537-8777
(928) 537-1914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101015602
MI
Other
Enumeration date
06/25/2008
Last updated
07/06/2010
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