Individual
DR. ADAM CHRISTOPHER BASICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17234 VALLEY BOULEVARD, FONTANA, CA 92335-6720
(909) 427-4128
Mailing address
17234 VALLEY BOULEVARD, FONTANA, CA 92335
(909) 427-4128
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
10/31/2023
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