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Brandy E. Ingram, PA-C
Medical Physician Assistant in Tempe, Arizona
NPI 1730366386

Brandy E. Ingram is a Medical Physician Assistant based in Tempe, AZ and is specialized in Medical. Brandy E. Ingram practices in Tempe, AZ and has the professional credentials of PA-C. The NPI Number for Brandy E. Ingram is 1730366386 and holds a License No. 3713 (Arizona).

The current practice location address for Brandy E. Ingram is 5030 S Mill Ave Ste D12, Tempe, AZ and can be reached out via phone at 480-894-2823 and via fax at 480-756-6663.

Location: 5030 S Mill Ave Ste D12, Tempe, AZ, 85282-6849
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Provider Profile Details
NPI Number
1730366386
Provider Name
Brandy E. Ingram
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5030 S Mill Ave Ste D12, Tempe, AZ, 85282-6849
Phone Number
480-894-2823
Fax Number
480-756-6663
Provider Enumeration Date
01/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1079446 01 AZ NCCPA
356769 05 AZ
institution
Provider Business Practice Location Address Details
Address
5030 S Mill Ave Ste D12
City
State
Zip
85282-6849
Phone Number
480-894-2823
Fax Number
480-756-6663
person
Provider Business Mailing Address Details
Address
5030 S Mill Ave Ste D12
City
State
Zip
85282-6849
Phone Number
480-894-2823
Fax Number
480-756-6663
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3713 (Arizona)
Definition
Definition to come...
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