| Randy Brazie Md Pllc | |
| 
					2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493  | |
| (602) 387-5185 | |
| (602) 584-6136 | 
| Full Name | Randy Brazie Md Pllc | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 2375 E Camelback Rd Ste 600, Phoenix, Arizona | 
| Authorized Official Name and Position | Randy Brazie (SOLE MEMBER) | 
| Authorized Official Contact | 6023875187 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Randy Brazie Md Pllc 2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 Ph: (602) 387-5185  | Randy Brazie Md Pllc 2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 Ph: (602) 387-5185  | 
| NPI Number | 1821758590 | 
|---|---|
| Provider Enumeration Date | 12/22/2021 | 
| Last Update Date | 12/22/2021 | 
| Certification Date | 12/22/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821758590 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
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