Search › New Mexico › 363A00000X
Keith Basham, PHYSICIAN ASSISTANT
NPI 1124329339 · on the registry since 2010
Practice
- Address
- 7704 2nd St Nw Ste A
Albuquerque, NM 87107 - Phone
- (505) 873-7400
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CO, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico