Individual
DR. KEITH G BRAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2112 HARRISBURG PIKE, LANCASTER, PA 17601
(717) 544-3577
(717) 544-3579
Mailing address
2112 HARRISBURG PIKE, STE 1, LANCASTER, PA 17601-2644
(717) 544-3577
(717) 544-3579
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004537L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017933340003
—
PA
Enumeration date
03/31/2006
Last updated
08/16/2010
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