Individual
JOHN P BREINHOLT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7505 S MCCLINTOCK DR STE 103, TEMPE, AZ 85283-5042
(480) 755-1000
(480) 755-0011
Mailing address
7505 S MCCLINTOCK DR STE 103, TEMPE, AZ 85283-5042
(480) 755-1000
(480) 755-0011
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
01064746
IN
2080P0202X
Pediatric Cardiology Physician
Primary
59396
AZ
2080P0202X
Pediatric Cardiology Physician
Q2254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200887980
—
IN
05
—
593837
—
AZ
05
—
7100104210
—
KY
Enumeration date
02/06/2008
Last updated
05/04/2022
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