MERVAT BASTA

FORT MOHAVE, AZ
NPI1285770115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: AZ  26169)
Additional Taxonomies207L00000X Anesthesiology
(Licence: AZ  26169)
Enumeration Date2007-01-29
Last Update Date2020-12-04
Business Address
Dr. MERVAT BASTA M.D.
4825 S HIGHWAY 95 # 2-356
FORT MOHAVE, AZ 86426
Phone number: 888-206-5902
Mailing Address
Dr. MERVAT BASTA M.D.
PO BOX 52650
MESA, AZ 85208-0133
Phone number: 888-206-5902