Individual
DORSEY MACHIR BASS
Active
Individual
DORSEY MACHIR BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G62260
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
G62260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G622600
—
CA
Enumeration date
09/27/2006
Last updated
04/10/2024
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