Individual
THON ARLYN BASOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 SHERIDAN, GARFIELD, KS 67529
(620) 569-2441
Mailing address
304 SHERIDAN, GARFIELD, KS 67529
(620) 569-2441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-23711
KS
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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