Individual
DR. JOHN WESLEY BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2398 E. CAMELBACK RD, 980, PHOENIX, AZ 85016
(602) 485-1010
(602) 485-5079
Mailing address
2398 E CAMELBACK RD, 980, PHOENIX, AZ 85016-9001
(602) 485-1010
(602) 485-5079
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14161
AZ
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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