Jean Denise Basta, MD

NPI #1104811504 in Cheyenne, Wyoming

Provider Information

NPI Number: 1104811504
Entity Type: Individual
Name: Jean Denise Basta, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Sep 13, 2005
Last Updated: Oct 29, 2007

Practice Location

Address: 2301 HOUSE AVE
Address 2: SUITE 505
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3179
Phone: (307) 632-9261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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