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Individual

CURTIS EUGENE BAZEMORE JR.

Active
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Individual

CURTIS EUGENE BAZEMORE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8408
NV
207Q00000X
Family Medicine Physician
Primary
8408
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503818
—
NV
01
—
8551
MEDICARE ENROLLMENT TYPE
NV
01
—
CC8555
BLUE CROSS
NV
Enumeration date
12/29/2006
Last updated
02/12/2015
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