Brysacz, Stanley P

Brysacz, Stanley P is an individual health care provider with primary practice located at 6565 E Greenway Pkwy Ste 100, Scottsdale AZ 85254-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brysacz, Stanley P can be contacted via phone (480) 348-3200.

Contact Information

Primary practice address
6565 E Greenway Pkwy Ste 100 Scottsdale AZ 85254-2056
Phone: (480) 348-3200
Fax: (480) 348-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1207 Arizona

Profile Details

NPI number 1609873918
LBN Legal business name Brysacz, Stanley P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 19 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 1609873918 NPPES
Arizona MEDICAID 260985

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