Individual
MELISSA L N BASFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
(406) 751-3068
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
(406) 751-3068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MEDPHYSLIC26397
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2008
Last updated
11/27/2023
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