NPI 1013118702

Michael D. Bazzani, MD

Practitioner Diagnostic Radiology Physician Saint Louis, MO

Practice location

Address: 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Phone: (314) 525-1165
Fax: (314) 525-1485
Mailing address: 11475 Olde Cabin Rd STE 200, Saint Louis, MO 63141-7129

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 2020011605 (MO)

Other Radiology providers in Missouri →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MO00044498 (TN)

Registry record

NPI: 1013118702
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2007
Record last updated: 7 Sep 2022

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.