Grace Anna Basden, PA-C

NPI #1083497788 in Lockport, New York

Provider Information

NPI Number: 1083497788
Entity Type: Individual
Name: Grace Anna Basden, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: PA-C
Enumeration Date: Aug 16, 2023
Last Updated: Aug 16, 2023

Practice Location

Address: 5949 CAMPBELL BLVD
City: Lockport
State: New York
ZIP Code: 14094-9204
Phone: (716) 778-8627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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