Individual
BRUCE A BASSITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1001 KNIK-GOOSEBAY ROAD, WASILLA, AK 99654
(907) 631-7889
(907) 631-7612
Mailing address
1001 KNIK-GOOSEBAY ROAD, WASILLA, AK 99654
(907) 631-7889
(907) 631-7612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
779
AK
363AM0700X
Medical Physician Assistant
008720
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD2004
—
NY
05
—
MDA0120
—
AK
Enumeration date
01/03/2007
Last updated
08/20/2013
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