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Individual
DR. ZACHARY J BASELLE
Active
Individual
DR. ZACHARY J BASELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19564
CA
207P00000X
Emergency Medicine Physician
5101018406
MI
207P00000X
Emergency Medicine Physician
90248
GA
207P00000X
Emergency Medicine Physician
Primary
Q0220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336975301
—
TX
01
—
P01408587
RAILROAD
TX
Enumeration date
10/13/2009
Last updated
12/12/2022
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