Individual
TAMSEN BASSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-3500
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080051962
RR MEDICARE
AZ
05
—
273079
—
AZ
01
—
ZWCGCR
GROUP MEDICARE #
AZ
Enumeration date
02/06/2006
Last updated
05/29/2008
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