Individual
SAMUEL BAUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0287
(702) 750-3800
(702) 750-3808
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 750-3800
(702) 750-3808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10785
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504979
—
NV
05
—
100504984
—
NV
Enumeration date
02/03/2006
Last updated
01/18/2017
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