Individual
MR. ELIOT ANDREW BASSETT I
Active
Individual
MR. ELIOT ANDREW BASSETT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP609
KY
208D00000X
General Practice Physician
0102204751
VA
Other
Enumeration date
04/27/2015
Last updated
02/16/2022
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