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NPI 1972029007

IndividualActive

Douglas Bazemore

NPI 1972029007 · Contractor · Churchville, MD

Provider details

NPI number: 1972029007
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

3014 Cool Branch Road

Churchville, MD 21028

Phone: (443) 617-7277

More MD providers

Mailing address

3014 Cool Branch Rd

Churchville, MD 21028-1002

Registry dates

Enumerated: 2017-08-21
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Douglas Bazemore — NPI 1972029007, Churchville, MD | NPI Central