Samuel Baskerville MD

NPI 1720192701 - Internal Medicine - 207R00000X

NPI Details
NPI 1720192701
Gender Male
Enumeration Date 08/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD CA, 93307-1365, US
Phone (661) 322-3905
Fax (661) 322-1370
Business Location
PO BOX 1559
1430 TRUXTUN AVE STE 400
BAKERSFIELD CA, 93302-1559, US
Phone (661) 635-3050
Fax (661) 869-1503
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number C21442
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According to our database, Samuel Baskerville MD NPI is 1720192701, taxonomy code is 207R00000X and license number is C21442, license state is located at California. Samuel Baskerville MD physically located at 815 Dr Martin Luther King Jr Blvd, Bakersfield CA, 93307-1365. NPI Number Samuel Baskerville MD has the Individual type.

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1720192701 NPI number is provided on an as is basis without warranty of any kind. 1720192701 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Baskerville MD are for informational purposes only.