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NPI Code Detail

MEDICARE: AARON RAPHAEL BARNARD BRANDIS MD

MEDICARE: AARON RAPHAEL BARNARD BRANDIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician590014TN
2390200000XStudent in an Organized Health Care Education/Training ProgramAZ
32085R0204XVascular & Interventional Radiology Physician50458AZ
42085R0204XVascular & Interventional Radiology PhysicianMD451243PA

General Provider Information

NPI Number : 1538326798
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON RAPHAEL BARNARD BRANDIS MD
Provider Business Mailing Address
First Line : 14044 W CAMELBACK RD STE 118
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-9481
Country : US
Telephone Number : 623-547-2600
Fax Number : 623-547-1899
Provider Business Practice Location Address
First Line : 14044 W CAMELBACK RD STE 118
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-9481
Country : US
Telephone Number : 623-547-2600
Fax Number : 623-547-1899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 03/07/2024

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