Most Relevant Information
Provider Data
| NPI Number: | 1003557323 |
| Provider Name: | BRADY PAUL DENNISON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2022 |
| Last Updated: | 04/03/2024 |
Provider Practice Location
4001 N 3RD ST STE 290
PHOENIX
AZ
850122071
Practice Location Phone/Fax
| Phone: | 6024063000 |
| Fax: |
Provider Mailing Location
4001 N 3RD ST STE 290
PHOENIX
AZ
850122071
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |