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Individual

DR. RALPH E BASSETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14510 W SHUMWAY DR STE 101, SUN CITY WEST, AZ 85375-5815
(623) 975-1660
(623) 584-4282
Mailing address
14510 W SHUMWAY DR STE 101, SUN CITY WEST, AZ 85375-5815
(623) 975-1660
(623) 584-4282

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
24954
AZ
207Y00000X
Otolaryngology Physician
Primary
24954
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001829159004
UNITED HEALTH CARE
AZ
01
020539454
SCHALLER ANDERSON HEALTH
AZ
01
397564
AHCCCS
AZ
01
40016859
RRB
AZ
01
606061100
DEPT OF LABOR-FECA
AZ
01
AZ0899410
BLUE CROSS BLUE SHIELD
AZ
05
NA918125
AZ
Enumeration date
05/24/2005
Last updated
01/23/2023
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