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Contact Information

BRENDA C PECOTTE DE GONZALEZ, DO
437 VISTA AVE
PAGE, AZ86040
 Phone: 928-645-8123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRENDA C PECOTTE DE GONZALEZ · (Female)

NPI Number 1083134241
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/20/2017
Last updated 10/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 009724
  • CA License # 20A18861
  • Other 125.071309 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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