IndividualActive
Gregory Bazemore
NPI 1558849034 · Prosthetics Case Management · Temple Hills, MD
Provider details
- NPI number
- 1558849034
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
3504 Leslie Ave
Temple Hills, MD 20748-4634
Phone: (703) 955-2567
Approximate (ZIP-level) locationGet directions
Mailing address
3504 Leslie Ave
Temple Hills, MD 20748-4634
Registry dates
- Enumerated
- 2018-08-06
- Last updated
- 2018-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.