STEPHEN J BAZZANO

GALENA, KS
NPI1063423150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  14599)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  32305)
Enumeration Date2006-08-11
Last Update Date2010-08-16
Business Address
-- STEPHEN J BAZZANO DO
111 E 7TH ST
GALENA, KS 66739-1229
Phone number: 620-783-1358
Mailing Address
-- STEPHEN J BAZZANO DO
PO BOX 277 111 E 7TH ST
GALENA, KS 66739
Phone number: 620-783-1358
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