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Brendan Wadlow

NPI 1063106821 · on the registry since 2023 · sole proprietor

Practice

Address
14185 W Falcon St
Luke Afb, AZ 85309
Phone
(928) 232-0764

Registry record

Primary taxonomy
133VN1004X
133VN1004X
Sex
Male
Record last updated
2026-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona