Individual
DR. GARY BASKIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
(318) 435-3842
Mailing address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
(318) 435-3842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301094982
MI
Other
Enumeration date
07/13/2009
Last updated
07/24/2012
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