Organization
AZALEA HEALTH & SKIN TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BASEDOW DO (OWNER)
(606) 467-2360
Entity
Organization
Contact information
Practice address
1000 ASHLAND DR STE 303, ASHLAND, KY 41101-7097
(606) 467-2360
(606) 467-2359
Mailing address
1000 ASHLAND DR STE 303, ASHLAND, KY 41101-7097
(606) 467-2360
(606) 467-2359
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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