Individual provider · Type 1 NPI

Bassanio Lazaro Martinez Jr., PA-C

Surgical Physician Assistant · Tucson, AZ

NPI number 1801469333 Active

Practice location

3601 S 6th Ave
Tucson, AZ 85723-2510

Mailing address

8323 N Shannon Rd Unit 6103
Tucson, AZ 85742-9466

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X59834 (CA)
Surgical Physician Assistant Primary 363AS0400X9567 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1801469333

Bassanio Lazaro Martinez Jr., PA-C's National Provider Identifier is 1801469333, issued on Jul 22, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tucson, AZ. The record was last updated on Feb 14, 2023.