Leroy A Bazzarone (NPI# 1700935061, PAC ID# 2264658392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1700935061 |
PAC ID by PECOS | 2264658392 |
Professional Enrollment ID | I20140728000573 |
Full Name | Leroy A Bazzarone |
Address |
2557 Chain Bridge Rd Vienna VA 22181-5517 |
Gender | M |
Medical School | CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES |
Graduation Year | 1987 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
2557 Chain Bridge Rd, Vienna, VA 22181-5517 |
Street Address |
2557 CHAIN BRIDGE RD |
City | VIENNA |
State | VA |
Zip | 22181-5517 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hamid S Assadi | Family Medicine | 2555 Chain Bridge Rd, Vienna, VA 22181-5517 |
City | VIENNA |
Zip Code | 22181 |
Specialty | CHIROPRACTIC |
City + Specialty | VIENNA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Leroy A Bazzarone.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.