Individual
DR. MICHAEL TRACY BASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3216 SHELTER COVE AVE, DAVIS, CA 95616-2628
(530) 601-3893
Mailing address
3216 SHELTER COVE AVE, DAVIS, CA 95616-2628
(530) 601-3893
Taxonomy
Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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