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Individual

BRETT W BASKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7790
(251) 471-7715
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 471-7790
(251) 471-7715

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
33548
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME116774
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TRN13583
FL

Other

Enumeration date
05/12/2009
Last updated
10/08/2014
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