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Organization
BRIAN JOSEPH MAZZEI DPM AND RENEE PATRICE MASON DPM PC
Active
Organization
BRIAN JOSEPH MAZZEI DPM AND RENEE PATRICE MASON DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J MAZZEI DPM (VICE PRESIDENT)
(276) 623-0333
Entity
Organization
Contact information
Practice address
1231 W MAIN ST, SUITE 100, ABINGDON, VA 24210-4705
(276) 623-0333
(237) 623-0213
Mailing address
1231 W MAIN ST, SUITE 100, ABINGDON, VA 24210-4705
(276) 623-0333
(237) 623-0213
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
010300940
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
C10300942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302123
—
VA
Enumeration date
12/23/2005
Last updated
06/29/2009
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