Individual
ROBERT STEVEN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4708 OLEANDER DR, MYRTLE BEACH, SC 29577-5742
(843) 449-9415
(843) 449-2160
Mailing address
4708 OLEANDER DR, MYRTLE BEACH, SC 29577-5742
(843) 449-9415
(843) 449-2160
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
13735
SC
2085R0001X
Radiation Oncology Physician
ME0062123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0694E
BCBS
NC
01
—
2A7492
BCBS
MA
01
—
503356
BCBS
PA
05
—
890694E
—
NC
01
—
94093
MEDCOST
—
01
—
9620580
GHI
—
01
—
G2585288
OXFORD HEALTH
—
05
—
GP0968-137355
—
SC
Enumeration date
07/20/2005
Last updated
10/10/2007
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