Individual
DR. CRAIG B. BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 BOBWHITE CT, # 275, BOISE, ID 83706-6643
(208) 333-0200
(208) 333-0399
Mailing address
250 BOBWHITE CT, # 275, BOISE, ID 83706-6643
(208) 333-0200
(208) 333-0399
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M-4306
ID
Other
Enumeration date
08/02/2006
Last updated
07/09/2007
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