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Organization

BRIAN S. PAGE D.O. P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN PAGE D.O. (OWNER)
(602) 942-0833
Entity
Organization

Contact information

Practice address
20325 N 51ST AVE, BLDG 8 SUITE 160, GLENDALE, AZ 85308-5674
(602) 942-0833
Mailing address
20325 N 51ST AVE, BLDG 8 SUITE 160, GLENDALE, AZ 85308-5674
(602) 942-0833

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3416
AZ

Other

Enumeration date
09/05/2007
Last updated
09/05/2007
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