Dr. John Brian Brizendine, MD
Surgery in Phoenix, AZ. Individual provider (NPI-1).
NPI number1457575813
StatusActive
Last updated in NPPESJan 5, 2025
Details
- NPI
- 1457575813
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Brian Brizendine
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2007
- Certification date
- Jan 5, 2025
- Last updated
- Jan 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 61144 | AZ | Yes |
| 208600000X | Surgery | LL 25038 | SC | |
| 208600000X | Surgery | 2008033381 | MO |
Practice location
20333 N 19th Ave Ste 230Phoenix, AZ 85027-9901
Phone 480-707-9504 · Fax 602-581-7764
Mailing address
20333 N 19th Ave Ste 230Phoenix, AZ 85027-9901
Phone 480-707-9504 · Fax 602-581-7764
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