Individual
BRANDON MICHAEL INTRIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(814) 464-3340
Mailing address
5477 W QUAIL AVE, GLENDALE, AZ 85308-9129
(814) 464-3340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
008393
AZ
390200000X
Student in an Organized Health Care Education/Training Program
HS000288L
PA
Other
Enumeration date
06/10/2017
Last updated
08/07/2020
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