Organization
COMPREHENSIVE BREAST CENTER OF ARIZONA, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S BRENDA MOORTHY DO (PROPRIETOR)
(602) 374-3440
Entity
Organization
Contact information
Practice address
9179 W THUNDERBIRD RD, 103, PEORIA, AZ 85381-4875
(602) 374-3440
(602) 374-3441
Mailing address
9179 W THUNDERBIRD RD, 103, PEORIA, AZ 85381-4875
(602) 374-3440
(602) 374-3441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4264
AZ
Other
Enumeration date
10/02/2007
Last updated
11/02/2007
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