Individual provider · Type 1 NPI

Michael D. Bazzani, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1013118702 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-1165 Map

Fax (314) 525-1485

Mailing address

11475 Olde Cabin Rd Ste 200
St. Louis, MO 63141-7129

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMO00044498 (TN)
Diagnostic Radiology Physician Primary 2085R0202X2020011605 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1013118702

Michael D. Bazzani, MD's National Provider Identifier is 1013118702, issued on May 30, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Sep 7, 2022.