| Doctor Name: | CAROL B BRENNAN |
| NPI Number: | 1003895426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 2251 |
| Business Practice Address: | 475 S Dobson Rd Chandler, AZ - 852245605 |
| Business Phone Number: | 4807283753 |
| Business Fax Number: | 4807283305 |
| Mailing Address: | 8501 S Terrace Rd, TEMPE |
| State: | AZ |
| Postal Code: | 852842442 |
| Phone Number: | 4807689784 |
| Fax Number: | 4807689785 |
| NPI Enumeration Date: | 01/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |