Individual
DR. BERTRAND BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 PASEO DEL PUEBLO SUR STE 150, TAOS, NM 87571-7002
(505) 758-3005
(505) 758-1070
Mailing address
630 PASEO DEL PUEBLO SUR STE 150, TAOS, NM 87571-7002
(505) 758-3005
(505) 758-1070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2005-0693
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34482831
—
NM
05
—
8400731
—
WA
01
—
P00390745
RAILROAD MEDICARE
—
Enumeration date
08/02/2005
Last updated
12/03/2007
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