Bazaco, Robert

Bazaco, Robert is an individual health care provider with primary practice located at 2400 Highway 95 Ste 50 , Bullhead City AZ 86442-7313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bazaco, Robert can be contacted via phone (928) 444-8405.

Contact Information

Primary practice address
2400 Highway 95 Ste 50 Bullhead City AZ 86442-7313
Phone: (928) 444-8405
Fax: (928) 299-5300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 48283 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48283 Arizona

Profile Details

NPI number 1487931770
LBN Legal business name Bazaco, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Oct 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487931770 NPPES
Arizona Other 3120998 CIGNA
Arizona MEDICAID 879064 CIGNA
Arizona Other 7387955 CIGNA

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