Individual
MR. MATTHEW GRANT BASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-5557
Mailing address
7101 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78412-4913
(361) 761-1924
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20A22719
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
05/16/2012
Last updated
06/18/2024
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