| Doctor Name: | BRIAN J MAZZEI |
| NPI Number: | 1063496008 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 450 |
| Business Practice Address: | 1231 W Main St Suite 100 Abingdon, VA - 242104705 |
| Business Phone Number: | 2766230333 |
| Business Fax Number: | 2766230213 |
| Mailing Address: | 1231 W Main St, Suite 100 ABINGDON |
| State: | VA |
| Postal Code: | 242104705 |
| Phone Number: | 2766230333 |
| Fax Number: | 2766230213 |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 450 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |