Individual
GREGG BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1200 BRIARWOOD DR, SAINT LOUIS, MO 63124-1214
(143) 283-7523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
104052
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114490
BLUE CROSS BLUE SHIELD
MO
01
—
382400
HEALTHLINK
MO
Enumeration date
08/30/2006
Last updated
03/05/2024
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