SearchArizona251S00000X

Madison Brown

NPI 1376148544 · on the registry since 2020 · sole proprietor

Practice

Address
810 S 124th Ave
Avondale, AZ 85323
Phone
(623) 242-7962
Fax
(480) 452-0475
Organisation at this address
Desert Agave Homes Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-03

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