Mr. DIRK KENNETH BASKETT PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1841920220- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 840 N 4TH E, MOUNTAIN HOME, ID, 836472166
- Phone
- (208) 587-1850
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-2374