| Brian D Espinoza Md Pc | |
|
1800 E Van Buren St St Lukes Behavioral Health Ctr Phoenix AZ 85006-3742 | |
| (602) 251-8535 | |
| (602) 251-8707 |
| Full Name | Brian D Espinoza Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1800 E Van Buren St, Phoenix, Arizona |
| Authorized Official Name and Position | Brian Daniel Espinoza (PRESIDENT) |
| Authorized Official Contact | 6022518535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Espinoza Md Pc 1800 E Van Buren St St Lukes Behavioral Health Ctr Phoenix AZ 85006-3742 Ph: (602) 251-8535 | Brian D Espinoza Md Pc 1800 E Van Buren St St Lukes Behavioral Health Ctr Phoenix AZ 85006-3742 Ph: (602) 251-8535 |
| NPI Number | 1235250135 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456457746 |
|---|---|
| Medicare Enrollment ID | O20070502000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235250135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25475 (Arizona) | Primary |
| Provider Name | Brian D Espinoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568529683 PECOS PAC ID: 0143262253 Enrollment ID: I20050928001335 |
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