Bauzon, Samuel

Bauzon, Samuel is an individual health care provider with primary practice located at 7061 Grand Montecito Pkwy , Las Vegas NV 89149-0287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bauzon, Samuel can be contacted via phone (702) 750-3800.

Contact Information

Primary practice address
7061 Grand Montecito Pkwy Las Vegas NV 89149-0287
Phone: (702) 750-3800
Fax: (702) 750-3808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10785 Nevada

Profile Details

NPI number 1417929464
LBN Legal business name Bauzon, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417929464 NPPES
Nevada MEDICAID 100504984
Nevada MEDICAID 100504979

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