| Bazzano Clinic Pa | |
|
111 E 7th St Galena KS 66739-1229 | |
| (620) 783-1358 | |
| (620) 783-5055 |
| Full Name | Bazzano Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 111 E 7th St, Galena, Kansas |
| Authorized Official Name and Position | Stephen J Bazzano (OWNER) |
| Authorized Official Contact | 4177812638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bazzano Clinic Pa Po Box 277 Galena KS 66739-0277 Ph: (620) 783-1358 | Bazzano Clinic Pa 111 E 7th St Galena KS 66739-1229 Ph: (620) 783-1358 |
| NPI Number | 1558699017 |
|---|---|
| Provider Enumeration Date | 11/21/2009 |
| Last Update Date | 08/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558699017 | NPI | - | NPPES |
| 080075003 | Other | KS | PALMETTO GBA RAILROAD MCR |
| 240387605 | Medicaid | MO | |
| 100098210A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32305 (Missouri) | Primary |
Digestive Health Center Of The Four States, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 198 Four States Dr, Suite 6, Galena, KS 66739 Phone: 620-783-1650 Fax: 620-783-1652 | |
Mcpherson Medical & Diagnostic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 Ks 66, Galena, KS 66739 Phone: 417-310-9286 |