Individual
CHARLES MARK BAZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 874-4024
Mailing address
1501 N CAMPBELL AVE, POB 245114, TUCSON, AZ 85724-0001
(520) 626-7221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36023
AZ
Other
Enumeration date
10/06/2006
Last updated
02/10/2012
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