NPI 1003260233

Brigham Nicoll

Practitioner Psychiatry Physician Phoenix, AZ

Practice location

Address: 2601 E Roosevelt St, Phoenix, AZ 85008-4973
Phone: (602) 344-5011

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 55458 (AZ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003260233
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2016
Record last updated: 19 Dec 2019

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.