Individual
CURTIS J. BASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Mailing address
295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
726565
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
14211805-1205
UT
Other
Enumeration date
06/08/2021
Last updated
03/19/2025
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