Individual provider · Type 1 NPI
Brock Petri
Electroneurodiagnostic Specialist/Technologist · Tempe, AZ
NPI number
1962916429
Active
Practice location
4515 S Mcclintock Dr
Tempe, AZ 85282-7376
Mailing address
660 S Oak Cir
Chandler, AZ 85226-4477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1962916429
Brock Petri's National Provider Identifier is 1962916429, issued on Nov 20, 2017. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Tempe, AZ. The record was last updated on Nov 20, 2017.