Individual
BRENT S RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3358
(805) 583-7444
(480) 558-3801
Mailing address
8630 E VIA DE VENTURA STE 201, SCOTTSDALE, AZ 85258-3358
(480) 558-3744
(480) 558-3801
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1861381205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18925
ARIZONA STATE MEDICAL LICENSE
AZ
Enumeration date
08/08/2006
Last updated
07/29/2020
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