CHRISTOPHER BASOM

INDIANAPOLIS, IN
NPI1245685742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02005341A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-03
Last Update Date2023-11-27
Business Address
CHRISTOPHER BASOM D.O.
8501 E 56TH ST STE 120
INDIANAPOLIS, IN 46216-2118
Phone number: 317-621-2360
Mailing Address
CHRISTOPHER BASOM D.O.
6626 E 75TH ST SUITE 500
INDIANAPOLIS, IN 46250-2805
Phone number: