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NPI Code Detail

MEDICARE: VALERIE A BRODSKY D.O.

MEDICARE: VALERIE A BRODSKY D.O.
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
1207R00000XInternal Medicine Physician4258AZ

General Provider Information

NPI Number : 1720049117
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE A BRODSKY D.O.
Provider Business Mailing Address
First Line : 451 E UNIVERSITY DR
Second Line :
City : TEMPE
State : AZ
Zip : 85281-2000
Country : US
Telephone Number : 480-965-3346
Fax Number : 480-965-8914
Provider Business Practice Location Address
First Line : 451 E UNIVERSITY DR
Second Line :
City : TEMPE
State : AZ
Zip : 85281-2000
Country : US
Telephone Number : 480-965-3346
Fax Number : 480-965-8914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 08/18/2010

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Directions to “ VALERIE A BRODSKY D.O.” Practice Location

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