Individual
DR. MERVAT BASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4825 S HIGHWAY 95 # 2-356, FORT MOHAVE, AZ 86426
(888) 206-5902
(480) 466-7536
Mailing address
PO BOX 52650, MESA, AZ 85208-0133
(888) 206-5902
(480) 466-7536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26169
AZ
282N00000X
General Acute Care Hospital
Primary
26169
AZ
Other
Enumeration date
01/29/2007
Last updated
12/04/2020
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