Brandy Radtke

NPI #1033589866 in Phoenix, Arizona

Provider Information

NPI Number: 1033589866
Entity Type: Individual
Name: Brandy Radtke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 6, 2015
Last Updated: Oct 6, 2015

Practice Location

Address: 14861 N CAVE CREEK RD
City: Phoenix
State: Arizona
ZIP Code: 85032-4909
Phone: (602) 992-1486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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