BRAIDEN CLARK FAIRBANKS

PHOENIX, AZ
NPI1164017679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  8690)
Enumeration Date2021-03-05
Last Update Date2025-02-24
Business Address
BRAIDEN CLARK FAIRBANKS PA-C
349 E CORONADO RD
PHOENIX, AZ 85004-1525
Phone number: 602-266-5678
Mailing Address
BRAIDEN CLARK FAIRBANKS PA-C
253 N PIEDRA
MESA, AZ 85207-7561
Phone number: 480-721-1784
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