BRIAN D DEDINSKY M.D., P.C.
Ambulatory Health at Virginia Ave, Phoenix, AZ

License number
Arizona AZ20400
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arizona AZ20400
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. BRIAN DAVID DEDINSKY M.D.
Title: OWNER
Phone: (602) 256-6303
Address
Address
367 E Virginia Ave, Phoenix, AZ 85004
National Provider ID: 1114183209
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN D. DEDINSKY, M.D., PC

367 E Virginia Ave, Phoenix, AZ 85004

Industry:
Medical Doctor's Office
Doing business as:
Brian D Dedinsky MD
Registration:
Nov 8, 2005
State ID:
-1241463-4
Expiration:
PERPETUAL
Receptionist Secretarys:
Brian D Dedinsky Md (President), 367 E Virginia Ave, Phoenix, AZ 85004 (Physical),Brian D. Dedinsky (Medical Doctor, Owner),Tracy Whitefield Office Manager, inactive,...
Agent:
Brian D Dedinsky,367 E Virginia Ave, Phoenix, AZ 85004 (Physical)

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