Organization
BRIAN HERTEL PAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E. HERTEL PAC (PHYCISIAN ASSISTANT)
(480) 229-7651
Entity
Organization
Contact information
Practice address
4424 E VIRGO PL, CHANDLER, AZ 85249-5898
(480) 229-7651
(480) 596-8522
Mailing address
4424 E VIRGO PL, CHANDLER, AZ 85249-5898
(480) 229-7651
(480) 596-8522
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3065
AZ
Other
Enumeration date
10/28/2006
Last updated
08/09/2019
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