Individual
DR. MARY ELLEN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
4590 NASH WAY, SAINT LOUIS, MO 63110-1020
(314) 363-5634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
IA-0008025964
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IA-0008025964
MOPRO
MO
Enumeration date
06/14/2025
Last updated
06/14/2025
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