Organization
DR BASSEL KISSO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEL KISSO MD (PRESIDENT)
(520) 795-3090
Entity
Organization
Contact information
Practice address
1505 N SWAN RD STE 121, TUCSON, AZ 85712-4044
(520) 795-3090
(520) 795-3537
Mailing address
1505 N SWAN RD STE 121, TUCSON, AZ 85712-4044
(520) 795-3090
(520) 795-3537
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227902
—
AZ
Enumeration date
04/21/2020
Last updated
04/21/2020
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