JORDAN ELISABETH BASHAM

COLTON, CA
NPI1871940981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
(Licence: CA  A156671)
Additional Taxonomies208600000X Surgery
(Licence: CA  A156671)
Enumeration Date2016-05-18
Last Update Date2025-12-26
Business Address
JORDAN ELISABETH BASHAM M.D.
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 855-422-8029
Mailing Address
JORDAN ELISABETH BASHAM M.D.
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-747-0371