Individual
BRUCE MATATHIAS BASKIR
Active
Individual
BRUCE MATATHIAS BASKIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R6G51
MO
207R00000X
Internal Medicine Physician
Primary
R6G51
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207930934
—
MO
Enumeration date
08/23/2006
Last updated
12/11/2025
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