Individual
RICHARD KEITH BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
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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