Organization
SUSAN BAZZELL, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K. BAZZELL M.D. (OWNER)
(520) 288-5788
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, SUITE 108, MESA, AZ 85206-4671
(480) 981-2400
(480) 981-2407
Mailing address
5151 E. BROADWAY, SUITE 1600, TUCSON, AZ 85711
(520) 288-5788
(480) 981-2407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531310
—
AZ
Enumeration date
11/15/2012
Last updated
11/15/2012
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