Individual
ROBERT B BAZZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 S MCCLELLAN ST STE 300, SPOKANE, WA 99204
(509) 838-7100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8327538
—
WA
Enumeration date
09/17/2006
Last updated
06/15/2018
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