Philip C Braudt N.P.

NPI 1003802521 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003802521
Gender Male
Enumeration Date 09/20/2005
Last Updated 06/13/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
6820 S KINGS RANCH RD
SUITE 130
GOLD CANYON AZ, 85118-2935, US
Phone (480) 982-3691
Fax (480) 982-3692
Business Location
6820 S KINGS RANCH RD
SUITE 130
GOLD CANYON AZ, 85118-2935, US
Phone (480) 982-3691
Fax (480) 982-3692
Toxanomy
Taxonomy Code 363L00000X
License State Arizona
License Number RN102453
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According to our database, Philip C Braudt N.P. NPI is 1003802521, taxonomy code is 363L00000X and license number is RN102453, license state is located at Arizona. Philip C Braudt N.P. physically located at 6820 S Kings Ranch Rd, Gold Canyon AZ, 85118-2935. NPI Number Philip C Braudt N.P. has the Individual type.

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1003802521 NPI number is provided on an as is basis without warranty of any kind. 1003802521 is maintained by the National Plan & Provider Enumeration System. The contents of Philip C Braudt N.P. are for informational purposes only.