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NPI 1619478732

NPI 1619478732 : ROBERT J. BROWNSBERGER, MD PC : SHOW LOW, AZ

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General NPI Number Information
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    NPI Number           |    1619478732
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT J. BROWNSBERGER, MD PC 
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Dates
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    Enumeration Date     |    02/23/2018
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    Last Update Date     |    02/23/2018
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Provider Practice Location Address
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    Address Line         |    2451 S WHITE MOUNTAIN RD 
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    City                 |    SHOW LOW
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    State                |    AZ
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    Zip                  |    85901-7306
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    Country              |    US
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    Telephone            |    928-532-7599
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    Fax                  |    928-532-8599
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Provider Business Mailing Address
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    Address Line         |    PO BOX 14665 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85267-4665
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEDICAL DOCTOR
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    Name                 |    DR. ROBERT JOSEPH BROWNSBERGER 
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    Credential           |    MD
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    Telephone            |    928-774-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    23429
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    License Number State |    AZ
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