Individual
BROOKE POLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 448-7500
Mailing address
2035 S ELM ST UNIT 147, TEMPE, AZ 85282-2668
(330) 978-6198
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86415437
AZ
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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