BRONWYN BAZ

CLACKAMAS, OR
NPI1093936486
Former NameBRONWYN M.B. WADDELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD28390)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A96638)
Enumeration Date2007-05-01
Last Update Date2008-08-06
Business Address
-- BRONWYN BAZ MD
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
Mailing Address
-- BRONWYN BAZ MD
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880