Individual
DR. STEPHEN FILS BAZILME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, SA-C
Contact information
Practice address
700 N ESTRELLA PKWY STE 120, GOODYEAR, AZ 85338-9271
(561) 331-7471
Mailing address
12758 WOOD HOLLOW DR APT 1721, WOODBRIDGE, VA 22192-6545
(561) 331-7471
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
22-423
WI
291U00000X
Clinical Medical Laboratory
109977
IL
363AM0700X
Medical Physician Assistant
683-P.A.
PR
363AM0700X
Medical Physician Assistant
Primary
8614
AZ
363AM0700X
Medical Physician Assistant
TPPA485
FL
Other
Enumeration date
12/02/2021
Last updated
06/30/2025
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