Individual
DR. MARY E BASSINGTHWAIGHTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
341 PLYMOUTH ST, MISSOULA, MT 59801-4134
(406) 544-5891
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 544-5891
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD60642253
WA
2084P0800X
Psychiatry Physician
Primary
MT7132
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03431
BLUE CROSS BLUE SHIELD
MT
Enumeration date
01/10/2007
Last updated
05/07/2016
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