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Individual
STEPHEN J BAZZANO
Active
Individual
STEPHEN J BAZZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14599
KS
207Q00000X
Family Medicine Physician
32305
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080075003
PALMETTO GBA RAILROAD MCR
KS
05
—
100098210A
—
KS
05
—
240387613
—
MO
Enumeration date
08/11/2006
Last updated
08/16/2010
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