Brian J Mazzei DPM

NPI 1063496008 - Podiatrist - 213ES0103X

NPI Details
NPI 1063496008
Gender Male
Enumeration Date 12/02/2005
Last Updated 09/27/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1231 W MAIN ST
SUITE 100
ABINGDON VA, 24210-4705, US
Phone (276) 623-0333
Fax (276) 623-0213
Business Location
1231 W MAIN ST
SUITE 100
ABINGDON VA, 24210-4705, US
Phone (276) 623-0333
Fax (276) 623-0213
Toxanomy
Taxonomy Code 213ES0103X
License State Tennessee
License Number 450
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According to our database, Brian J Mazzei DPM NPI is 1063496008, taxonomy code is 213ES0103X and license number is 450, license state is located at Tennessee. Brian J Mazzei DPM physically located at 1231 W Main St, Abingdon VA, 24210-4705. NPI Number Brian J Mazzei DPM has the Individual type.

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1063496008 NPI number is provided on an as is basis without warranty of any kind. 1063496008 is maintained by the National Plan & Provider Enumeration System. The contents of Brian J Mazzei DPM are for informational purposes only.