Individual
BRIAN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5251 W CAMPBELL AVE, SUITE 105, PHOENIX, AZ 85031-1715
(623) 245-0505
(480) 357-4639
Mailing address
9221 E BASELINE RD, SUITE A109-617, MESA, AZ 85209-8310
(480) 357-3904
(480) 357-4639
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4331
AZ
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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