Doctor Name: | DR. REBECCA E BRIZZELL |
NPI Number: | 1639282411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01060792A |
Business Practice Address: | 51 Mdg/sgop Unit 2060 Apo, AP - 96278-2060 |
Business Phone Number: | 01182316617206 |
Business Fax Number: | |
Mailing Address: | 51 Mdg/sgop, Unit 2060 APO |
State: | AP |
Postal Code: | 96278-2060 |
Phone Number: | 01182316617206 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 01060792A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |