Individual
GERARD IRVELT BAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8525 GIBBS DR, SUITE 210, SAN DIEGO, CA 92123-1755
(858) 505-9436
(858) 505-9568
Mailing address
1750 KETTNER BLVD, UNIT 106, SAN DIEGO, CA 92101-2531
(858) 505-9436
(858) 505-9568
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G87229
CA
Other
Enumeration date
07/29/2006
Last updated
07/11/2014
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