Individual
DR. KAREN BASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-6747
(814) 863-8464
Mailing address
308 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-6747
(814) 863-8464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-057978-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
847930
BLUE SHIELD
PA
Enumeration date
03/26/2007
Last updated
04/08/2020
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