Individual
CURTIS EUGENE BAZEMORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6424 LOOSEE RD, SUITE 100, NORTH LAS VEGAS, NV 89086-0102
(702) 677-2273
(702) 330-3332
Mailing address
6424 LOSEE RD, SUITE 100, NORTH LAS VEGAS, NV 89086-0102
(702) 677-2273
(702) 330-3332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8408
NV
207Q00000X
Family Medicine Physician
Primary
8408
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503818
—
NV
01
—
8551
MEDICARE ENROLLMENT TYPE
NV
01
—
CC8555
BLUE CROSS
NV
Enumeration date
12/29/2006
Last updated
02/12/2015
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