Individual
JOHN PAUL BRIZZOLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(501) 906-3000
(501) 907-8367
Mailing address
PO BOX 55050, LITTLE ROCK, AR 72215-5050
(501) 906-3000
(501) 537-1875
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C5910
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114290001
—
AR
01
—
340010630
RAILROAD MEDICARE
AR
Enumeration date
02/17/2006
Last updated
09/21/2023
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