Individual
MS. BRENDA LUE SIPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3141 N 3RD AVE, PHOENIX, AZ 85013-4360
(602) 914-1520
(602) 914-1521
Mailing address
PO BOX 1864, TEMPE, AZ 85280-1864
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348294
—
AZ
Enumeration date
07/11/2005
Last updated
01/06/2015
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