Individual
GEORGE BASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 W 42ND ST, KEARNEY, NE 68845-2401
(308) 865-2303
(308) 865-2304
Mailing address
412 W 42ND ST, KEARNEY, NE 68845-2401
(308) 865-2303
(308) 865-2304
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-18339
KS
207RH0003X
Hematology & Oncology Physician
Primary
16465
NE
Other
Enumeration date
11/23/2005
Last updated
12/19/2014
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