Individual
DR. GARY N BASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2505 MISSION DR STE 210, WOUNDS CENTER, JEFFERSON CITY, MO 65109-9508
(573) 681-3187
(573) 681-3645
Mailing address
1020 SASSAFRASS DR, ELDON, MO 65026-2151
(573) 746-0144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242238723
—
MO
Enumeration date
07/06/2006
Last updated
12/15/2020
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