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MITCHELL RULON BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 752-1693
Mailing address
1037 LAKEVIEW TER # 21, AZUSA, CA 91702-2452

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9148352-1205
UT
208800000X
Urology Physician
A154472
CA

Other

Enumeration date
03/29/2013
Last updated
04/20/2026
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