Individual
MRS. BROOKE MENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2152 S VINEYARD, SUITE 131, MESA, AZ 85210-6871
(480) 820-2533
Mailing address
1863 S RECKER RD, MESA, AZ 85206-4205
(480) 270-4376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4760
AZ
363A00000X
Physician Assistant
7798445-1206
UT
Other
Enumeration date
10/18/2010
Last updated
11/16/2011
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