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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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