Provider Demographics
NPI:1831335736
Name:CORDES, BRETT D
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:D
Last Name:CORDES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6688 E DUANE LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-3549
Mailing Address - Country:US
Mailing Address - Phone:602-295-4707
Mailing Address - Fax:480-247-6062
Practice Address - Street 1:6688 E DUANE LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-3549
Practice Address - Country:US
Practice Address - Phone:602-295-4707
Practice Address - Fax:480-247-6062
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4085174MM1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174MM1900XOther Service ProvidersVeterinarianMedical Research