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Shayne M Brizzard, PAC
Surgical Physician Assistant in Baton Rouge, Louisiana
NPI 1841371150

Shayne M Brizzard is a Surgical Physician Assistant based in Baton Rouge, LA and is specialized in Surgical. Shayne M Brizzard practices in Baton Rouge, LA and has the professional credentials of PAC. The NPI Number for Shayne M Brizzard is 1841371150 and holds a License No. A10365 (Louisiana).

The current practice location address for Shayne M Brizzard is 10101 Park Rowe Ave Ste 200, Baton Rouge, LA and can be reached out via phone at 225-769-2200 and via fax at 225-768-2185. You can also correspond with Shayne M Brizzard through the mailing address at PO BOX 98509, BATON ROUGE, LA - 70884-9509 (mailing address contact number: 225-769-2200).

Location: 10101 Park Rowe Ave Ste 200, Baton Rouge, LA, 70884-9509
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Provider Profile Details
NPI Number
1841371150
Provider Name
Shayne M Brizzard
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
10101 Park Rowe Ave Ste 200, Baton Rouge, LA, 70884-9509
Phone Number
225-769-2200
Fax Number
225-768-2185
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1626473 05 LA
institution
Provider Business Practice Location Address Details
Address
10101 Park Rowe Ave Ste 200
City
State
Zip
70810-1685
Phone Number
225-769-2200
Fax Number
225-768-2185
person
Provider Business Mailing Address Details
Address
10101 Park Rowe Ave Ste 200
City
State
Zip
70810-1685
Phone Number
225-769-2200
Fax Number
225-768-2185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A10365 (Louisiana)
Definition
Definition to come...
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