PAUL BENJAMIN BASCOM

GOLD BEACH, OR
NPI1689680134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: OR  G061983)
Enumeration Date2006-08-01
Last Update Date2023-08-09
Business Address
PAUL BENJAMIN BASCOM MD
94220 4TH ST
GOLD BEACH, OR 97444-7756
Phone number: 702-453-3799
Mailing Address
PAUL BENJAMIN BASCOM MD
2660 CRIMSON CANYON DR STE 130
LAS VEGAS, NV 89128-0846
Phone number: 702-453-3799