DMITRIY VLADIMIROVICH BAZARON

ALBUQUERQUE, NM
NPI1043728249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NM  CNP-03476)
Enumeration Date2018-01-22
Last Update Date2019-04-08
Business Address
DMITRIY VLADIMIROVICH BAZARON CNP
2901 TRANSPORT ST SE
ALBUQUERQUE, NM 87106-4382
Phone number: 505-255-1717
Mailing Address
DMITRIY VLADIMIROVICH BAZARON CNP
2901 TRANSPORT ST SE
ALBUQUERQUE, NM 87106-4382
Phone number: 505-262-7110
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