Washington
Snohomish
Everett
Family Medicine
canceled
G22842
male
1971
medical activities:
no activities identified
license issued on August 2, 1972;
Family / General
Specialist for: Family Practice
Oregon Health Sciences University School of Medicine (graduated in 1971)
Graduated in year 1971, Medical School: Or Health Science University School of Medicine, Portland, OR 97201
Robert D. Basta
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Profile ID: FRUS-MDS-P-172652