Individual
DR. ALLAN SCOTT BAZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W VINE ST, MOUNT VERNON, OH 43050
(740) 392-6098
(740) 392-1049
Mailing address
PO BOX 246, GAMBIER, OH 43022-0246
(740) 392-6098
(740) 392-1049
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
35045171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0562181
—
OH
Enumeration date
08/25/2006
Last updated
07/08/2007
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