Provider Demographics
NPI:1326008988
Name:AUERBACH, BRYAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:N
Last Name:AUERBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3162 N PLACITA AGUA CALIENTE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1250
Mailing Address - Country:US
Mailing Address - Phone:520-326-5123
Mailing Address - Fax:520-323-3460
Practice Address - Street 1:3085 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1259
Practice Address - Country:US
Practice Address - Phone:520-323-3099
Practice Address - Fax:520-323-3460
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ8238173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF30851Medicare UPIN