Organization
BASSO PODIATRY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LEE BASSO DPM (OWNER)
(530) 758-1810
Entity
Organization
Contact information
Practice address
635 ANDERSON RD STE 19, DAVIS, CA 95616-3505
(530) 758-1810
Mailing address
635 ANDERSON RD STE 19, DAVIS, CA 95616-3505
(530) 758-1810
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
06/26/2019
Last updated
05/17/2023
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