Organization
GERARD BAZILE MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD IRVELT BAZILE MD (OWNER)
(619) 286-0100
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD, SUITE 2306, SAN DIEGO, CA 92120-5238
(619) 286-0100
(619) 286-0600
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/29/2006
Last updated
07/11/2014
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