Blake Bassett, DO Valid NPI
Individual provider · General Practice Physician · Coronado, CA
- NPI
- 1225617657
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Physician (General Practice)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208D00000X
- License number
- 0102207484 (VA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-04-04
- Last updated
- 2023-04-14
Practice location
Naval Air Station North Island, 28-64 S R Ave
Coronado, CA 92118
(619) 545-6210