Dr KEITH E BASHAM is a male medical professional, specializing in Physician Assistant. He graduated in 2010.
DAVITA MEDICAL GROUP NEW MEXICO, LLC
5400 GIBSON BLVD SE
ALBUQUERQUE
NM
871084729
Tel:
| Npi | 1124329339 |
| Pac Id | 3072771963 |
| Professional Enrollment Id | I20120223000413 |
| Last Name | BASHAM |
| First Name | KEITH |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | DAVITA MEDICAL GROUP NEW MEXICO, LLC |
| Group Practice Pac Id | 9032125810 |
| Number Of Group Practice Members | 147 |
| Line 1 Street Address | 5400 GIBSON BLVD SE |
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| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 871084729 |
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| Professional Accepts Medicare Assignment | Y |
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