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Individual
HERBERT CHARLES BAZRON JR.
Active
Individual
HERBERT CHARLES BAZRON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G159334
CA
207R00000X
Internal Medicine Physician
MD034000E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010868320001
—
PA
Enumeration date
06/28/2006
Last updated
10/15/2021
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