Individual
DR. ROBERT C. BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1911 THOMSON DR, LYNCHBURG, VA 24501-1008
(434) 947-3901
(434) 947-3907
Mailing address
1911 THOMSON DR, LYNCHBURG, VA 24501-1008
(434) 947-3901
(434) 947-3907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101230770
VA
208600000X
Surgery Physician
Primary
0101230770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007304781
—
VA
01
—
383889
ANTHEM
VA
Enumeration date
09/06/2005
Last updated
06/16/2016
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