Marlon S Bazan, PA-C

NPI #1306329438 in Liberal, Kansas

Provider Information

NPI Number
1306329438
Entity Type
Individual
Name
Marlon S Bazan, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Sep 14, 2018
Last Updated
Sep 14, 2018

Practice Location

Address
315 W 15TH ST
State
Kansas
ZIP Code
67901-2455
Phone
(620) 629-6477

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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