NPI Profile for Dr STEPHEN FILS BAZILME in GOODYEAR, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Surgical Assistant |
246ZC0007X |
| NPI # | 1467110890 |
|
| Status | Active | |
| Credentials | PA, SA-C | |
| Entity | Individual | |
| Enumeration date | 12/02/2021 | |
| Last updated | 06/30/2025 - About 11 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHEN FILS BAZILME
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