person
Marlon S Bazan, PA-C
Medical Physician Assistant in Liberal, Kansas
NPI 1306329438

Marlon S Bazan is a Medical Physician Assistant based in Liberal, KS and is specialized in Medical. Marlon S Bazan practices in Liberal, KS and has the professional credentials of PA-C. The NPI Number for Marlon S Bazan is 1306329438 and holds a License No. 1502129 (Kansas).

The current practice location address for Marlon S Bazan is 315 W 15Th St, Liberal, KS and can be reached out via phone at 620-629-6477 and via fax at 620-629-6651.

Location: 315 W 15Th St, Liberal, KS, 67905-1340
person
Provider Profile Details
NPI Number
1306329438
Provider Name
Marlon S Bazan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
315 W 15Th St, Liberal, KS, 67905-1340
Phone Number
620-629-6477
Fax Number
620-629-6651
Provider Enumeration Date
09/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 W 15Th St
City
State
Zip
67901-2455
Phone Number
620-629-6477
Fax Number
620-629-6651
person
Provider Business Mailing Address Details
Address
315 W 15Th St
City
State
Zip
67901-2455
Phone Number
620-629-6477
Fax Number
620-629-6651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1502129 (Kansas)
Definition
Definition to come...
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