Individual
MR. GREGORY D BASYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX BAPTIST HOSPITAL, PHOENIX, AZ 85015-2443
(602) 246-5747
Mailing address
3107 E VERMONT DR, GILBERT, AZ 85297
(480) 558-0797
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2177
AZ
363A00000X
Physician Assistant
MED-PAC-LIC-131929
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GRP #
AZ
01
—
453051001
GROUP HEALTH GRP #
—
05
—
532425
—
AZ
01
—
860373636
HUMANA GROUP #
AZ
01
—
AIU1436
HEALTHNET GRP #
AZ
Enumeration date
11/07/2005
Last updated
04/18/2025
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