NPI 1427359165

Brenda Moorthy DO PLLC

Organisation Specialist Peoria, AZ

Practice location

Address: 9179 W Thunderbird Rd STE 101, Peoria, AZ 85381-4912
Phone: (602) 374-3440
Fax: (602) 374-3441
Mailing address: 5150 N 16th St STE B232, Phoenix, AZ 85016-3990

Authorised official

Name: S Brenda Moorthy
Title: Owner
Phone: (602) 374-3440

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4264 (AZ)

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Registry record

NPI: 1427359165
Entity type: Organization
NPI issued: 11 Nov 2010
Record last updated: 4 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.