Individual provider · Type 1 NPI

Jack B. Basil, MD

Gynecologic Oncology Physician · Cincinnati, OH

NPI number 1073505525 Active

Practice location

3219 Clifton Ave, Suite 100
Cincinnati, OH 45220-3027

Fax (513) 862-3616

Mailing address

PO Box 635063
Cincinnati, OH 45263-0001

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201X35084002 (OH)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1073505525

Jack B. Basil, MD's National Provider Identifier is 1073505525, issued on Aug 19, 2005. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Cincinnati, OH. The record was last updated on Sep 17, 2014.