Organization
DESERT SPURS PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BAZACO M.D. (OWNER)
(210) 464-8311
Entity
Organization
Contact information
Practice address
1355 RAMAR RD, STE. 10, BULLHEAD CITY, AZ 86442-7100
(928) 444-8405
(928) 299-5300
Mailing address
251 MOSER AVE, APT. 105, BULLHEAD CITY, AZ 86429-5240
(210) 464-8311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48283
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P20970983
CORPORATION ID#
AZ
Enumeration date
08/17/2016
Last updated
08/17/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us