JONATHAN WILLIAM BAZELEY

INDIANAPOLIS, IN
NPI1750580445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IN  01070207A)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: MI  4301089565)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4301089565)
207R00000X Internal Medicine
(Licence: MI  4301089565)
Enumeration Date2007-07-13
Last Update Date2020-11-25
Business Address
JONATHAN WILLIAM BAZELEY MD
1801 N SENATE BLVD STE 3300
INDIANAPOLIS, IN 46202-1184
Phone number: 317-963-6875
Mailing Address
JONATHAN WILLIAM BAZELEY MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: