Individual
MELODY J BAZIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4249 S 205TH EAST AVE, BROKEN ARROW, OK 74014-1282
(918) 960-3033
(918) 960-3035
Mailing address
4249 S 205TH EAST AVE, BROKEN ARROW, OK 74014-1282
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
130756
OK
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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