Dr. Miya Bazley, DC
Chiropractor in Washington, DC. Individual provider (NPI-1).
NPI number1629298294
StatusActive
Last updated in NPPESJun 18, 2014
Details
- NPI
- 1629298294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miya Bazley
- Credential
- DC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2007
- Last updated
- Jun 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC030058 | DC | Yes |
| 111N00000X | Chiropractor | 03484 | MD |
Practice location
650 Pennsylvania Ave SeWashington, DC 20003-4318
Phone 202-525-6708
Mailing address
650 Pennsylvania Ave SeWashington, DC 20003-4318
Phone 202-525-6708
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