Individual
DR. BRENDAN P CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N 7TH ST, SUITE 100, PHOENIX, AZ 85006-2754
(602) 222-2234
(602) 222-3025
Mailing address
PO BOX 97876, PHOENIX, AZ 85060-7876
(602) 222-2234
(602) 222-3025
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22365
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167074
—
AZ
Enumeration date
02/13/2006
Last updated
10/07/2013
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