| Brenda Kronborg, DO | |
| 8405 E Baseline Rd, Suite 107, Mesa, AZ 85209-4349 | |
| (480) 615-2010 | |
| (480) 218-6053 | 
| Full Name | Brenda Kronborg | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 8405 E Baseline Rd, Mesa, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801886163 | NPI | - | NPPES | 
| 341553 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 3092 (Arizona) | Primary | 
| Entity Name | Banner Primary Care Physicians Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 | 
| Entity Name | Banner Childrens Banner Health Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407191216 PECOS PAC ID: 2466697735 Enrollment ID: O20130315000131 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brenda Kronborg, DO Po Box 16455, Mesa, AZ 85211-6455 Ph: (480) 615-2010 | Brenda Kronborg, DO 8405 E Baseline Rd, Suite 107, Mesa, AZ 85209-4349 Ph: (480) 615-2010 | 
| Madhuri Kashyap, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-3000 | |
| Jyoti S. Lebonheur, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204 Phone: 480-464-8500 | |
| Dr. Eric Gabriel Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204 Phone: 602-569-3999 Fax: 602-569-3887 | |
| Pacita Tee Opulencia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 59 S Hibbert, Mesa, AZ 85210 Phone: 480-344-6226 Fax: 602-344-6201 | |
| Dr. Daniel E Miga, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202 Phone: 480-412-6336 Fax: 480-412-8013 | |
| Naresh Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-412-4100 Fax: 480-412-5154 | |
| Dale W Guthrie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206 Phone: 480-892-3880 Fax: 480-545-4551 |