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Individual

DR. CRAIG A BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
717 N 190TH PLZ, STE. # 1100, ELKHORN, NE 68022-3917
(402) 815-1700
(402) 815-1959
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12833
NE
207V00000X
Obstetrics & Gynecology Physician
22384
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025350400
NE
05
10026301600
NE
05
1912010950
IA
05
47068731742
NE
05
47068731795
NE
05
47068731799
NE
Enumeration date
08/16/2006
Last updated
06/30/2015
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