Individual
DR. JUSTIN EDWARD BRANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4515 S MCCLINTOCK DR, STE 120, TEMPE, AZ 85282-7376
(480) 413-0586
(480) 730-0487
Mailing address
4515 S MCCLINTOCK DR, STE 120, TEMPE, AZ 85282-7376
(480) 413-0586
(480) 730-0487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5653611
CCN
AZ
01
—
AZ0945320
BCBS OF ARIZONA
AZ
Enumeration date
11/22/2006
Last updated
05/14/2012
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