Individual
DR. BRIAN PETER DEZZUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101231194
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
Q1130
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156521
—
VA
Enumeration date
03/29/2006
Last updated
05/04/2016
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