Individual
DR. RICHARD E BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 45TH STREET, WEST PALM BEACH, FL 33407
(305) 298-7016
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME125534
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2011
Last updated
12/01/2015
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