Individual
JOSEPH EDWARD BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5304
(573) 248-5311
Mailing address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5304
(573) 248-5311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2017022028
MO
2085R0202X
Diagnostic Radiology Physician
23720AL
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891756J
—
GA
05
—
009940090
—
AL
Enumeration date
02/15/2006
Last updated
07/21/2022
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