MRS. Severine Mia Clemence Basham, P.A.
NPI #1518144260 in Libby, Montana
Provider Information
- NPI Number
- 1518144260
- Entity Type
- Individual
- Name
- MRS. Severine Mia Clemence Basham, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Jan 24, 2008
- Last Updated
- Dec 11, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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