DR. Derwood E Basham, D.O.

NPI #1053535120 in Roseburg, Oregon

Provider Information

NPI Number: 1053535120
Entity Type: Individual
Name: DR. Derwood E Basham, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 12, 2007
Last Updated: Jul 17, 2015

Practice Location

Address: 2371 NE STEPHENS ST
Address 2: SUITE 200
City: Roseburg
State: Oregon
ZIP Code: 97470-1372
Phone: (541) 672-8533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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