Individual
DR. BRIAN GHALAMBOR HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5220 N DYSART RD, SUITE 172, LITCHFIELD PARK, AZ 85340-3045
(623) 695-9789
(800) 317-0013
Mailing address
5220 N. DYSART ROAD, SUITE 172, LITCHFIELD PARK, AZ 85340-3005
(623) 695-9789
(800) 317-0013
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
31076
AZ
207R00000X
Internal Medicine Physician
Primary
31076
AZ
Other
Enumeration date
08/19/2005
Last updated
07/28/2015
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