Individual
BRIAN J MAZZEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1231 W MAIN ST, SUITE 100, ABINGDON, VA 24210-4705
(276) 623-0333
(276) 623-0213
Mailing address
1231 W MAIN ST, SUITE 100, ABINGDON, VA 24210-4705
(276) 623-0333
(276) 623-0213
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
010300940
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
450
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118872001
ADMINISTAR FEDERAL
—
01
—
1480758
UMWA
—
01
—
280049
ANTHEM
VA
05
—
4350350
—
TN
05
—
9300732
—
VA
Enumeration date
12/02/2005
Last updated
09/27/2011
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