DIRK KENNETH BASKETT

MOUNTAIN HOME, ID
NPI1841920220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-2374)
Enumeration Date2022-06-16
Last Update Date2022-12-23
Business Address
Mr. DIRK KENNETH BASKETT PA-C
840 N 4TH E
MOUNTAIN HOME, ID 83647-2166
Phone number: 208-587-1850
Mailing Address
Mr. DIRK KENNETH BASKETT PA-C
840 N 4TH E
MOUNTAIN HOME, ID 83647-2166
Phone number: 208-587-1850
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