NPI 1306382270

Robert a Bazylak, M.D.

Organisation Family Medicine Physician Conneaut Lake, PA

Practice location

Address: 12387 Conneaut Lake Rd, Conneaut Lake, PA 16316-4203
Phone: (814) 382-0221
Fax: (814) 382-0231
Mailing address: 1034 Grove St, Meadville, PA 16335-2945

Authorised official

Name: Christian Miles
Title: Vice President, Physician Services
Phone: (814) 333-5267

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD014601E (PA)

Other Family Medicine providers in Pennsylvania →

Registry record

NPI: 1306382270
Entity type: Organization
NPI issued: 16 Jan 2017
Record last updated: 16 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.