Dr DMITRIY VLADIMIROVICH BAZARON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017.
DAVITA MEDICAL GROUP NEW MEXICO, LLC
2901 TRANSPORT ST SE
ALBUQUERQUE
NM
871064382
Tel: 5052627000
| Npi | 1043728249 |
| Pac Id | 2567724743 |
| Professional Enrollment Id | I20180328001388 |
| Last Name | BAZARON |
| First Name | DMITRIY |
| Middle Name | VLADIMIROVICH |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | DAVITA MEDICAL GROUP NEW MEXICO, LLC |
| Group Practice Pac Id | 9032125810 |
| Number Of Group Practice Members | 147 |
| Line 1 Street Address | 2901 TRANSPORT ST SE |
| Line 2 Street Address | |
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| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 871064382 |
| Phone Number | 5052627000 |
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| Professional Accepts Medicare Assignment | Y |
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