Individual
DR. GEOFFREY CHARLES BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 S 13TH ST, LINCOLN, NE 68512-9371
(402) 423-1111
(402) 423-0365
Mailing address
2455 PINE LAKE ROAD SUITE 110, LINCOLN, NE 68512-3612
(402) 423-1111
(402) 423-0365
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21282
NE
207ND0101X
MOHS-Micrographic Surgery Physician
21282
NE
207ND0900X
Dermatopathology Physician
21282
NE
207NP0225X
Pediatric Dermatology Physician
21282
NE
207NS0135X
Procedural Dermatology Physician
21282
NE
Other
Enumeration date
09/20/2006
Last updated
03/18/2021
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