Individual
DR. DEBORAH S BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
24781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521022
—
AZ
01
—
86080015085259A590
TRIWEST
AZ
Enumeration date
12/06/2005
Last updated
10/26/2007
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