Individual
JOHN BROWNING BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4076 NEELY RD, FAIRBANKS, AK 99703
(907) 361-5172
Mailing address
4076 NEELY RD, FAIRBANKS, AK 99703
(907) 361-5172
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
143490
AK
207P00000X
Emergency Medicine Physician
Primary
MD61185997
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2015
Last updated
05/23/2025
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