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Marlon Bazan, PA-C
NPI 1306329438 · on the registry since 2018
Practice
- Address
- 315 W 15th St
Liberal, KS 67901 - Phone
- (620) 629-6477
- Fax
- (620) 629-6651
- Organisation at this address
- Heartland Oncology, Llc
Southwest Medical Center
Southwest Medical Center
Southwest Medical Center
Southwest Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas