Provider Demographics
NPI:1932397973
Name:PEZZINO, GIANFRANCO (MD)
Entity Type:Individual
Prefix:DR
First Name:GIANFRANCO
Middle Name:
Last Name:PEZZINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 SW GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1231
Mailing Address - Country:US
Mailing Address - Phone:785-274-9789
Mailing Address - Fax:
Practice Address - Street 1:2600 SW EAST CIRCLE DR S
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2447
Practice Address - Country:US
Practice Address - Phone:785-251-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-253682083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine