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Susan V Basta

  • Female

Medical Specialty

Professional ID

  • NPI: 1952491581
  • PECOS ID: 9931113636
  • Enrollment ID: I20060202000111
  • Credential(MD, DO, DPM): NP
  • Medical School:
  • Medical School Graduation Year: 1983

Hospital Service

  • Hospital CCN1: 460009
  • Business Name (LBN)1: University Health Careuniv Hospitals And Clinics

Medical Practices

  • Organization Name: University Of Utah Adult Services
  • Group Practice ID assigned by PECOS: 0941525273
  • Number of Group Practice member: 1169

Location

  • Address1: 50 N Medical Dr
  • Address2:
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84132
  • Phone Number: (801)585-3229

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):