Individual
BRENDAN GARTH LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
009116
AZ
207P00000X
Emergency Medicine Physician
20A17909
CA
Other
Enumeration date
05/09/2018
Last updated
10/12/2021
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