Individual
DR. FREDERICK C BASSAL
Active
Individual
DR. FREDERICK C BASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
009013
AZ
208000000X
Pediatrics Physician
BP1-0053409
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
009013
AZ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
009013
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2015
Last updated
10/17/2023
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