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Individual

RICHARD KEITH BASSETT

Active
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Individual

RICHARD KEITH BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
006432
AZ
207X00000X
Orthopaedic Surgery Physician
006432
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
006432
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
913882
AZ
Enumeration date
04/16/2009
Last updated
09/13/2018
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