Individual
BRYCE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7900 DALLAS STREET, FORT SMITH, AR 72903-5690
(479) 242-6647
(479) 250-0505
Mailing address
7900 DALLAS STREET, FORT SMITH, AR 72903-5690
(479) 242-6647
(479) 250-0505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA854
AR
Other
Enumeration date
07/09/2019
Last updated
03/06/2023
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