Individual
DR. DENNIS JOHN BASILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23800 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2841
(256) 999-0808
(844) 490-5876
Mailing address
23800 JOHN T REID PKWY, SCOTTSBORO, AL 35768-2841
(256) 999-0808
(844) 490-5876
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
244921-1
NY
208000000X
Pediatrics Physician
Primary
36720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03171226
—
NY
05
—
212646
—
AL
Enumeration date
04/27/2008
Last updated
04/27/2018
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