Provider Demographics
NPI:1225224041
Name:BRIZZIE, RONALD (DO)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:BRIZZIE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3144 EL CAMINO REAL
Mailing Address - Street 2:STE 204
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2194
Mailing Address - Country:US
Mailing Address - Phone:760-729-0222
Mailing Address - Fax:760-434-2201
Practice Address - Street 1:2741 VISTA WAY
Practice Address - Street 2:SUITE 111
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6372
Practice Address - Country:US
Practice Address - Phone:760-757-0222
Practice Address - Fax:760-757-0224
Is Sole Proprietor?:No
Enumeration Date:2007-09-16
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A 9611208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation