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Dr. Blake Bassett, DO
General Practice Physician in Coronado, California
NPI 1225617657

Blake Bassett is a General Practice Physician based in Coronado, CA. Blake Bassett practices in Coronado, CA and has the professional credentials of DO. The NPI Number for Blake Bassett is 1225617657 and holds a License No. 0102207484 (California).

The current practice location address for Blake Bassett is Naval Air Station North Island, Coronado, CA and can be reached out via phone at 619-545-6210.

Location: Naval Air Station North Island, Coronado, CA, 73003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225617657
Provider Name
Blake Bassett
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Naval Air Station North Island, Coronado, CA, 73003
Phone Number
619-545-6210
Fax Number
Provider Enumeration Date
04/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1 01 N/A
institution
Provider Business Practice Location Address Details
Address
Naval Air Station North Island
City
Coronado
State
California
Zip
92118
Phone Number
619-545-6210
Fax Number
person
Provider Business Mailing Address Details
Address
Naval Air Station North Island
City
Coronado
State
California
Zip
92118
Phone Number
619-545-6210
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102207484 (Virginia)
Definition
Definition to come...
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