Individual
BRENDA KRONBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8405 E BASELINE RD, SUITE 107, MESA, AZ 85209-4349
(480) 615-2010
(480) 218-6053
Mailing address
PO BOX 16455, MESA, AZ 85211-6455
(480) 615-2010
(480) 962-0523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3092
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341553
—
AZ
Enumeration date
10/26/2005
Last updated
06/10/2011
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