Marc H Brickman, D.O.
Internal Medicine in Prescott, AZ. Individual provider (NPI-1).
NPI number1437101789
StatusActive
Last updated in NPPESMar 19, 2018
Details
- NPI
- 1437101789
- Entity type
- Individual (NPI-1)
- Name
- Marc H Brickman
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2006
- Last updated
- Mar 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 007470 | AZ | Yes |
| 207R00000X | Internal Medicine | 1126 | SC |
Practice location
3120 Clearwater DrPrescott, AZ 86305-7131
Phone 928-771-3704 · Fax 928-771-0434
Mailing address
Po Box 10880Prescott, AZ 86304-0880
Phone 928-759-5987 · Fax 775-356-5590
Other practice locations
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