Individual
DR. SONAL PATEL BRIZENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2305 SOUTH 65 HIGHWAY, BUILDING A, MARSHALL, MO 65340-3702
(660) 886-7800
(660) 831-3328
Mailing address
2305 SOUTH 65 HIGHWAY, BUILDING A, MARSHALL, MO 65340-3702
(660) 886-7800
(660) 886-3328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008034612
MO
207Q00000X
Family Medicine Physician
TL25410
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-25410
SC CONTROLLED SUBSTANCES
SC
01
—
TL25410
STATE LICENSE
SC
Enumeration date
07/25/2006
Last updated
03/07/2023
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