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Contact Information

ROBERT BAZACO JR, MD
1751 HWAY 95 STE 83
BULLHEAD CITY, AZ86442-6902
 Phone: 928-763-4337
 Fax: 928-763-4332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROBERT BAZACO JR · (Male)

NPI # 1487931770
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2011
Last updated 04/27/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • AZ License # 48283
  • TX License # W4755
  • AZ Medicaid 879064
  • AZ Other 7387955 AETNA
  • AZ Other 3120998 CIGNA
Hospital affiliation(s)
  • VALLEY VIEW MEDICAL CENTER - (Acute Care)
    5330 SOUTH HIGHWAY 95
    FORT MOHAVE, AZ 86426
  • WESTERN ARIZONA REGIONAL MEDICAL CTR - (Acute Care)
    2735 SILVER CREEK ROAD
    BULLHEAD CITY, AZ 86442
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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