-- GRETCHEN G BASEN -- pa-c
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1861549396- Provider Type
- Individual Provider (NPI-1)
- Credentials
- pa-c
- Status
- Active
Contact & Location
- Address
- 775 POLE LINE RD W SUITE 115, TWIN FALLS, ID, 833015814
- Phone
- (208) 814-8150
- Fax
- (208) 732-3112
Specialties & Taxonomies
Physician Assistant, Surgical
License: MD #c0001509
Physician Assistant
Primary License: ID #PA-914