John Melvin Bracken in Phoenix - General Practice
John Melvin Bracken - NPI 1518989565
John Melvin Bracken is a General Practice in Phoenix, Arizona. John Melvin Bracken practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Melvin Bracken is 1518989565. The last update date is 2007-07-08.
John Melvin Bracken's current location address is 213 East Monterey Way, Phoenix, Arizona. You can contact this provider via phone number 6022659393 and fax number 6022656456. The mailing address for John Melvin Bracken is 213 East Monterey Way, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Melvin Bracken |
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Address | 213 East Monterey Way, Phoenix, Arizona |
Phone Number | 6022659393 |
Fax Number | 6022656456 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1518989565 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 213 East Monterey Way |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 85012 |
Phone Number | 6022659393 |
Fax Number | 6022656456 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 749 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identification code assigned to John Melvin Bracken by the Centers for Medicare & Medicaid Services?
The John Melvin Bracken has been issued the NPI (National Provider Identifier) 1518989565. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Melvin Bracken is geographically located?
The John Melvin Bracken is physically situated at the following location: 213 East Monterey Way, Phoenix, AZ, 85012.
What is the area of specialization for John Melvin Bracken, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Melvin Bracken is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the John Melvin Bracken receive the assignment of its 1518989565 from the Centers for Medicare & Medicaid Services?
The John Melvin Bracken was issued its 1518989565 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding John Melvin Bracken most recently updated?
The details pertaining to the John Melvin Bracken, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.