Watkins, Brennan Montgomery

Watkins, Brennan Montgomery is an individual health care provider with primary practice located at 645 E Missouri Ave Ste 300 , Phoenix AZ 85012-1351. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Watkins, Brennan Montgomery can be contacted via phone (602) 262-8900.

Contact Information

Primary practice address
645 E Missouri Ave Ste 300 Phoenix AZ 85012-1351
Phone: (602) 262-8900
Fax: (602) 262-8890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X M5572 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 37895 Arizona

Profile Details

NPI number 1538370796
LBN Legal business name Watkins, Brennan Montgomery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2007
Last updated Dec 21st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538370796 NPPES
Arizona MEDICAID 355753

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