Individual
JOHN K BASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 5TH ST, BEAVER, PA 15009-1964
(724) 774-0232
(724) 774-2696
Mailing address
701 5TH ST, BEAVER, PA 15009-1964
(724) 774-0232
(724) 770-7963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD016411E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006807010003
—
PA
Enumeration date
07/24/2006
Last updated
09/16/2015
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