Brendan Wadlow

NPI #1063106821 in Phoenix, Arizona

Provider Information

NPI Number
1063106821
Entity Type
Individual
Name
Brendan Wadlow
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered - Nutrition, Pediatric
Enumeration Date
Jun 5, 2023
Last Updated
Sep 11, 2025

Practice Location

Address
4410 N 99TH AVE APT 2072
State
Arizona
ZIP Code
85037-5944
Phone
(928) 232-0764

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered - Nutrition, PediatricNutrition, Pediatric

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