Brenda G Izen M.D. Pc in Wildwood - Family Medicine
Brenda G Izen M.D. Pc - NPI 1154508893
Brenda G Izen M.D. Pc is a Family Medicine in Wildwood, Missouri. Brenda G Izen M.D. Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brenda G Izen M.D. Pc is 1154508893. The last update date is 2012-07-16.
Brenda G Izen M.D. Pc's current location address is 2638 Highway 109, Wildwood, Missouri. You can contact this provider via phone number 6368212500 and fax number 6368212210. The mailing address for Brenda G Izen M.D. Pc is 2638 Highway 109, Wildwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brenda G Izen M.D. Pc |
|---|---|
| Address | 2638 Highway 109, Wildwood, Missouri |
| Phone Number | 6368212500 |
| Fax Number | 6368212210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Izen G Brenda |
| Credentials | M.D. |
| Telephone Number | 6368212500 |
NPI Number Detail
| NPI Number | 1154508893 |
|---|---|
| Provider Enumeration Date | 2008-01-24 |
| Last Updated Date | 2012-07-16 |
Provider Mailing Address Detail
| Address | 2638 Highway 109 |
|---|---|
| City | Wildwood |
| State | Missouri (MO) |
| Post Code | 630401161 |
| Phone Number | 6368212500 |
| Fax Number | 6368212210 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MDR2K89 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122950057 | MO | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brenda G Izen M.D. Pc?
The Brenda G Izen M.D. Pc has been issued the NPI (National Provider Identifier) 1154508893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Brenda G Izen M.D. Pc is located?
The Brenda G Izen M.D. Pc is situated at the following address: 2638 Highway 109, Wildwood, MO, 630401161.
What is the area of specialization for Brenda G Izen M.D. Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brenda G Izen M.D. Pc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Brenda G Izen M.D. Pc receive the assignment of its 1154508893 from the Centers for Medicare & Medicaid Services?
The Brenda G Izen M.D. Pc was issued its 1154508893 by the Centers for Medicare & Medicaid Services on 2008-01-24.
As of what date was the information pertaining to Brenda G Izen M.D. Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brenda G Izen M.D. Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-07-16.