Individual
ALLEN BASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 HIGHWAY 60, SOCORRO GENERAL HOSPITAL, SOCORRO, NM 87801-3914
(505) 835-1140
(505) 835-8716
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67583
—
NM
Enumeration date
03/05/2007
Last updated
07/15/2008
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