KEITH BASHAM, PHYSICIAN ASSISTANT

PHYSICIAN ASSISTANT

NPI: 1124329339IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

3117(CO)PA2011-0057(NM)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2010

Contact & Hours

Address: 7704 2ND ST NW STE A
ALBUQUERQUE, NM 87107
Phone: (505) 873-7400

Quick Facts

NPI: 1124329339
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 16

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