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DR. ROBERT BAZACO MD

Geriatric Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1487931770

Individual Registrant:
DR. ROBERT  BAZACO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2400 HIGHWAY 95 STE 50  BULLHEAD CITY, AZ 86442-7313 US
Tel: 928-444-8405  Fax: 928-299-5300

Contact information for business:
2400 HIGHWAY 95 STE 50  BULLHEAD CITY, AZ 86442-7313 US
Tel: 928-444-8405  Fax: 928-299-5300

Registration Information:
NPI: 1487931770
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QG0300XAllopathic & Osteopathic Physicians
Family Medicine
Geriatric Medicine
AZ48283
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ48283

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7387955AZ01
879064AZ05
CIGNA3120998AZ01




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