| Curtis E Bazemore Md Pc | |
|
6424 Losee Rd Ste 100 North Las Vegas NV 89086-0102 | |
| (702) 677-2273 | |
| (702) 330-3332 |
| Full Name | Curtis E Bazemore Md Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 6424 Losee Rd Ste 100, North Las Vegas, Nevada |
| Authorized Official Name and Position | Curtis E Bazemore (PRESIDENT) |
| Authorized Official Contact | 7026772273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curtis E Bazemore Md Pc 6424 Losee Rd Ste 100 North Las Vegas NV 89086-0102 Ph: (702) 677-2273 | Curtis E Bazemore Md Pc 6424 Losee Rd Ste 100 North Las Vegas NV 89086-0102 Ph: (702) 677-2273 |
| NPI Number | 1952656563 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 7315193679 |
|---|---|
| Medicare Enrollment ID | O20120802000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952656563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 8408 (Nevada) | Primary |
| Provider Name | Curtis E Bazemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477619831 PECOS PAC ID: 4082697230 Enrollment ID: I20040610000356 |
| Provider Name | Chasity Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760045868 PECOS PAC ID: 6709111800 Enrollment ID: I20190711002192 |
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