PAUL B BASCOM MD LLC

GOLD BEACH, OR
NPI1710307046
Entity TypeOrganization
Authorized ContactPAUL B BASCOM
Owner
503-961-2017
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD16983)
Enumeration Date2014-04-25
Last Update Date2023-08-09
Business Address
PAUL B BASCOM MD LLC
94220 4TH ST
GOLD BEACH, OR 97444-7756
Phone number: 503-961-2017
Mailing Address
PAUL B BASCOM MD LLC
2660 CRIMSON CANYON DR STE 130
LAS VEGAS, NV 89128-0846
Phone number: 503-961-2017
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