Brydon, Dennis Carl

Brydon, Dennis Carl is an individual health care provider with primary practice located at 2901 N Central Ave Ste 500, Phoenix AZ 85012-2738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Brydon, Dennis Carl can be contacted via phone (602) 262-8900.

Contact Information

Primary practice address
2901 N Central Ave Ste 500 Phoenix AZ 85012-2738
Fax: (602) 262-8919
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7480 Arizona

Profile Details

NPI number 1114907821
LBN Legal business name Brydon, Dennis Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114907821 NPPES
Arizona MEDICAID 213918

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