# ROBERT D. BAZLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982719514
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 36355 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME45747 | FL | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 06/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000046600 | — | FL |
| 01 | — | 119334 | BLUE CROSS | — |
| 01 | — | 160048858 | RAILROAD | — |
| 05 | — | 203990411 | — | MO |
| 01 | — | 68594 | BCBS | FL |