Provider Demographics
NPI:1922084714
Name:BRIZENDINE, TONI L I (SURGICAL TECH)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:L
Last Name:BRIZENDINE
Suffix:I
Gender:F
Credentials:SURGICAL TECH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:210 E GRAY ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-3900
Mailing Address - Country:US
Mailing Address - Phone:502-585-2300
Mailing Address - Fax:502-584-2726
Practice Address - Street 1:210 E GRAY ST
Practice Address - Street 2:SUITE 601
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3900
Practice Address - Country:US
Practice Address - Phone:502-585-2300
Practice Address - Fax:502-584-2726
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist