NPI 1114308426

Brandi Ekstrom, COAST

Practitioner Surgical Assistant Phoenix, AZ

Practice location

Address: 1750 E Glendale Ave, Phoenix, AZ 85020-5505
Phone: (602) 242-4928
Fax: (602) 249-4813

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1114308426
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2015
Record last updated: 11 Jun 2015

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.