Jesse Bryan Basford, MD

NPI #1164788774 in Dothan, Alabama

Provider Information

NPI Number: 1164788774
Entity Type: Individual
Name: Jesse Bryan Basford, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Apr 9, 2012
Last Updated: Jan 22, 2019

Practice Location

Address: 1108 ROSS CLARK CIR
Address 2: EMERGENCY DEPARTMENT
City: Dothan
State: Alabama
ZIP Code: 36301
Phone: (334) 793-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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