Individual
MARIA J BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, ANESTHESIA, SPRINGFIELD, MO 65804-2203
(417) 820-6863
(417) 820-6868
Mailing address
7868 NW 100TH ST, OCALA, FL 34482-7340
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036089061
IL
207L00000X
Anesthesiology Physician
Primary
R8E40
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177416001
—
AR
05
—
209047117
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00716888
RAILROAD MEDICARE
MO
Enumeration date
06/22/2005
Last updated
02/22/2023
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