Individual
BRIAN MUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7223 W VISTA AVE, GLENDALE, AZ 85303-1638
(480) 528-3464
Mailing address
7223 W VISTA AVE, GLENDALE, AZ 85303-1638
(480) 528-3464
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
270850
AZ
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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