NPI 1063783488

Melody J Bazih, CSFA

Practitioner Surgical Assistant Broken Arrow, OK

Practice location

Address: 4249 S 205th East Ave, Broken Arrow, OK 74014-1282
Phone: (918) 960-3033
Fax: (918) 960-3035

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 130756 (OK)

Other Specialist/Technologist, Other providers in Oklahoma →

Registry record

NPI: 1063783488
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2012
Record last updated: 17 Jan 2012

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.