Individual
DR. JOHN W BASORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2227 DRAKE AVE, SUITE 7A, HUNTSVILLE, AL 35805-5199
(256) 883-5600
(256) 883-5604
Mailing address
2227 DRAKE AVE, SUITE 7A, HUNTSVILLE, AL 35805-5199
(256) 883-5600
(256) 883-5604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3663
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51000276
BCBS
AL
Enumeration date
09/25/2006
Last updated
07/08/2007
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