Ianna Renatta Bazil
NPI #1033498860 in Providence, Rhode Island
Provider Information
- NPI Number
- 1033498860
- Entity Type
- Individual
- Name
- Ianna Renatta Bazil
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 10, 2011
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 1000 EDDY STREET
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02905
- Phone
- (401) 533-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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