Individual
NASSER VICTOR BAZOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
US HWY 191 & HOSPITAL DR, CHINLE, AZ 86503
(928) 674-7001
Mailing address
PO BOX DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101025501
MI
207P00000X
Emergency Medicine Physician
Primary
DO2026-0042
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
03/13/2026
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