Dursteler, Brian Bruce

Dursteler, Brian Bruce is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85338-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dursteler, Brian Bruce can be contacted via phone (623) 882-1500.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85338-2618
Phone: (623) 882-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28901 Arizona

Profile Details

NPI number 1942286034
LBN Legal business name Dursteler, Brian Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 8th, 2007 - about 17 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 1942286034 NPPES
Arizona Other 3981220 EVERCARE GROUP
Arizona Other AZ0728670 EVERCARE GROUP
Arizona Other AW1436 EVERCARE GROUP
Arizona MEDICAID 545486 EVERCARE GROUP

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