Individual
DR. ANDREW MICHAEL BASNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N KEENE ST, COLUMBIA, MO 65201
(573) 876-1616
Mailing address
BLDG H 2005 KNIGHT LANE, ATTN: MEDICAL STAFF SUPPORT SERVICES, JACKSONVILLE, FL 32212-1098
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2010026609
MO
Other
Enumeration date
06/25/2009
Last updated
07/25/2019
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