MR. Mark A Basham, MD

NPI #1255326443 in Eureka, Kansas

Provider Information

NPI Number
1255326443
Entity Type
Individual
Name
MR. Mark A Basham, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Sep 14, 2005
Last Updated
Nov 29, 2023

Practice Location

Address
110 E 16TH ST
City
Eureka
State
Kansas
ZIP Code
67045-1067
Phone
(620) 583-7451

Specialties & Taxonomy Codes

Specialty
Family Medicine

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