Provider Demographics
NPI:1891319240
Name:BREZOVEC, ANNE (DO)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:BREZOVEC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL. 25-1 HAMJEONG
Mailing Address - Street 2:UNIT #15245; BLDG 3031
Mailing Address - City:PYEONGTAEK
Mailing Address - State:GYEONGGI
Mailing Address - Zip Code:96271
Mailing Address - Country:KR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL. 25-1 HAMJEONG
Practice Address - Street 2:UNIT #15245; BLDG 3031
Practice Address - City:PYEONGTAEK
Practice Address - State:GYEONGGI
Practice Address - Zip Code:96271
Practice Address - Country:KR
Practice Address - Phone:910-907-6670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102207015207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology