NPI 1841920220

Dirk Kenneth Baskett, PAC

Practitioner Medical Physician Assistant Mountain Home, ID

Practice location

Address: 840 N 4th E, Mountain Home, ID 83647-2166
Phone: (208) 587-1850

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-2374 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1841920220
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2022
Record last updated: 23 Dec 2022

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.