Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENDA GAIL IZEN, M.D.
Active Sole ProprietorDR. BRENDA GAIL IZEN, M.D. is a Family Medicine healthcare provider located in WILDWOOD, Missouri. NPI 1760588768 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WILDWOOD, MO
Registration Details
- NPI Number
- 1760588768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2006 (19.91223880159 yrs)
- Last Updated
- Nov 30, 2011
- License
-
R2K89 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2638 HIGHWAY 109 STE 101WILDWOOD, MO, 630401161Browse MO providers · Browse ZIP 63040
- Phone
- 6368212500
- Fax
- 6368212210
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WILDWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| LISA C BURNS | MD | 1902870561 |
| BRYAN JAMES CANNON | MD | 1265662068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.