DR. Aly A. Bassal, M.D., F.I.C.S.
NPI #1275530560 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1275530560
- Entity Type
- Individual
- Name
- DR. Aly A. Bassal, M.D., F.I.C.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D., F.I.C.S.
- Enumeration Date
- Jul 1, 2005
- Last Updated
- Oct 5, 2012
Practice Location
- Address
- 1000 W G ST
- Address 2
- SUITE 104
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2959
- Phone
- (423) 543-4616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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