Organization
BASEDOW FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM K BASEDOW D.O. (PRESIDENT)
(740) 532-3100
Entity
Organization
Contact information
Practice address
2301 S 7TH ST STE 1, IRONTON, OH 45638-2542
(740) 532-3100
(740) 532-8558
Mailing address
2301 S 7TH ST STE 1, IRONTON, OH 45638-2542
(740) 532-3100
(740) 532-8558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919171
—
OH
05
—
0919180
—
OH
Enumeration date
07/09/2005
Last updated
11/08/2018
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