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Individual

MARK R BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00020088
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1037514
WA
Enumeration date
08/22/2005
Last updated
12/12/2008
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