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Organization

GERARD BAZILE MD A PROFESSIONAL MEDICAL CORPORATION

Active
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Organization

GERARD BAZILE MD A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARD IRVELT BAZILE MD (OWNER)
(619) 286-0100
Entity
Organization

Contact information

Practice address
6699 ALVARADO RD, SUITE 2306, SAN DIEGO, CA 92120-5238
(619) 286-0100
(619) 286-0600
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—

Other

Enumeration date
07/29/2006
Last updated
07/11/2014
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