Individual
DR. JOSE A BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5666
(614) 293-4556
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
34009003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2954423
—
OH
Enumeration date
03/29/2007
Last updated
04/20/2012
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