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Individual
DR. MICHAEL PERRY BASS
Active
Individual
DR. MICHAEL PERRY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
C32503
CA
207T00000X
Neurological Surgery Physician
C32503
CA
208D00000X
General Practice Physician
Primary
C32503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GROUP'S PTAN HJ036A
GROUP'S PTAN HJ036A
CA
Enumeration date
09/19/2006
Last updated
01/28/2014
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