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Dr. Amanda Laine Brazis, DPM
Foot & Ankle Surgery Podiatrist in Herrin, Illinois
NPI 1528354602

Amanda Laine Brazis is a Foot & Ankle Surgery Podiatrist based in Herrin, IL and is specialized in Foot & Ankle Surgery. Amanda Laine Brazis practices in Herrin, IL and has the professional credentials of DPM. The NPI Number for Amanda Laine Brazis is 1528354602 and holds a License No. 016.005557 (Illinois).

The current practice location address for Amanda Laine Brazis is 510 Lincoln Dr, Herrin, IL and can be reached out via phone at 618-997-3100 and via fax at 618-997-3616.

Location: 510 Lincoln Dr, Herrin, IL, 62948-6334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528354602
Provider Name
Amanda Laine Brazis
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
510 Lincoln Dr, Herrin, IL, 62948-6334
Phone Number
618-997-3100
Fax Number
618-997-3616
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Lincoln Dr
City
Herrin
State
Illinois
Zip
62948-6334
Phone Number
618-997-3100
Fax Number
618-997-3616
person
Provider Business Mailing Address Details
Address
510 Lincoln Dr
City
Herrin
State
Illinois
Zip
62948-6334
Phone Number
618-997-3100
Fax Number
618-997-3616
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016.005557 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016.005557 (Illinois)
Definition
Definition to come...
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