Organization
BASSI CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARUN BASSI (OWNER/AUTHORIZED OFFICIAL)
(646) 352-2619
Entity
Organization
Contact information
Practice address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
(602) 354-3311
Mailing address
11110 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/01/2021
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