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Charles W Bascom III, NP
Family Nurse Practitioner in Tucson, Arizona
NPI 1487278313

Charles W Bascom III is a Family Nurse Practitioner based in Tucson, AZ and is specialized in Family. Charles W Bascom III practices in Tucson, AZ and has the professional credentials of NP. The NPI Number for Charles W Bascom III is 1487278313 and holds a License No. 241529 (Arizona).

The current practice location address for Charles W Bascom III is 2120 W Ina Rd, Tucson, AZ and can be reached out via phone at 520-395-0471.

Location: 2120 W Ina Rd, Tucson, AZ, 85741-2347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487278313
Provider Name
Charles W Bascom III
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2120 W Ina Rd, Tucson, AZ, 85741-2347
Phone Number
520-395-0471
Fax Number
Provider Enumeration Date
06/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2120 W Ina Rd
City
Tucson
State
Arizona
Zip
85741-2694
Phone Number
520-395-0471
Fax Number
person
Provider Business Mailing Address Details
Address
2120 W Ina Rd
City
Tucson
State
Arizona
Zip
85741-2694
Phone Number
520-395-0471
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
241529 (Arizona)
Definition
Definition to come...
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