NPI 1245814326

Michael Tracy Basso, DPM

Practitioner Podiatric Assistant Davis, CA

Practice location

Address: 3216 Shelter Cove Ave, Davis, CA 95616-2628
Phone: (530) 601-3893

Registered specialties

Podiatric Assistant Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 211D00000X

Other Assistant, Podiatric providers in California →

Registry record

NPI: 1245814326
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2021
Record last updated: 5 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.