Individual
MARK KEVIN BREKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, FACFAS
Contact information
Practice address
2155 W HIGHWAY 89A STE 116, SEDONA, AZ 86336-5415
(928) 282-3138
(928) 282-3187
Mailing address
2155 W HIGHWAY 89A STE 116, SEDONA, AZ 86336-5415
(928) 282-3138
(928) 282-3187
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0475
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423179
—
AZ
Enumeration date
10/23/2006
Last updated
12/20/2007
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