Individual
MEGAN K BAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2117 MCCOMAS WAY, SUITE 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6690
Mailing address
2117 MCCOMAS WAY, SUITE 103, VIRGINIA BEACH, VA 23456-3908
(757) 668-6715
(757) 668-6690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101239700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010396271
—
VA
Enumeration date
06/09/2006
Last updated
12/11/2012
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