Mr. MARK A BASHAM -- MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1255326443- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 110 E 16TH ST, EUREKA, KS, 670451067
- Phone
- (620) 583-7451
- Fax
- (620) 583-6702
Specialties & Taxonomies
Family Medicine
Primary License: KS #0428069