Individual
CHRISTOPHER TANNER BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5152
(352) 333-5915
Mailing address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5152
(352) 333-5915
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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