Individual
DR. JOHN BRIAN BRIZENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20333 N 19TH AVE STE 230, PHOENIX, AZ 85027-9901
(480) 707-9504
(602) 581-7764
Mailing address
20333 N 19TH AVE STE 230, PHOENIX, AZ 85027-9901
(480) 707-9504
(602) 581-7764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008033381
MO
208600000X
Surgery Physician
Primary
61144
AZ
208600000X
Surgery Physician
LL 25038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457575813
—
MO
Enumeration date
04/13/2007
Last updated
01/05/2025
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