Brodrick, Stacy

Brodrick, Stacy is an individual health care provider with primary practice located at 350 N Wilmot Rd , Tucson AZ 85711-2602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Brodrick, Stacy can be contacted via phone (520) 872-7130.

Contact Information

Primary practice address
350 N Wilmot Rd Tucson AZ 85711-2602
Phone: (520) 872-7130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28450 Arizona

Profile Details

NPI number 1013917954
LBN Legal business name Brodrick, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013917954 NPPES
Arizona MEDICAID 522715

Popular Providers