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NPI Code Detail

MEDICARE: ROBERT J. BROWNSBERGER, MD PC

MEDICARE: ROBERT J. BROWNSBERGER, MD PC
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianAZ

General Provider Information

NPI Number : 1265974182
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT J. BROWNSBERGER, MD PC
Provider Business Mailing Address
First Line : 2451 S WHITE MOUNTAIN RD
Second Line :
City : SHOW LOW
State : AZ
Zip : 85901-7306
Country : US
Telephone Number : 928-774-3919
Fax Number : 928-774-2076
Provider Business Practice Location Address
First Line : 705 N LEROUX ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3225
Country : US
Telephone Number : 928-774-3919
Fax Number : 928-774-2076
Authorized Official
Title or Position : OWNER
Name : ROBERT BROWNSBERGER
Credential : M.D.
Telephone Number : 928-774-3919
Provider Enumeration Date : 11/09/2016
Last Update Date : 11/09/2016

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