Individual provider · NPI-1

Curtis J. Bashore, MD

Pediatrics, Pediatric Emergency Medicine · Salt Lake City, UT

NPI number1245807270
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1245807270
Entity type
Individual (NPI-1)
Name
Curtis J. Bashore
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2021
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency Medicine14211805-1205UTYes
208000000X Pediatrics726565TX

Practice location

295 S Chipeta Way Rm 2s010
Salt Lake City, UT 84108-1287

Phone 801-581-2121

Mailing address

295 S Chipeta Way Rm 2s010
Salt Lake City, UT 84108-1287

Phone 801-581-2121

Other practice locations

4900 Mueller Blvd Ste 3s.066c
Austin, TX 78723-3079

Phone 512-324-0165

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