Individual
DR. WAYNE S BROKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9630 E SHEA BLVD, SCOTTSDALE, AZ 85260-6267
(480) 767-3920
(480) 551-5378
Mailing address
PO BOX 27588, TEMPE, AZ 85285-7588
(480) 777-0607
(480) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9518
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223644
—
AZ
Enumeration date
07/07/2005
Last updated
07/09/2007
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