Individual
DR. ELIZABETH MARIANNE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801
(615) 920-7471
Mailing address
1710 HARPER RD, BECKLEY, WV 25801-3397
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
28140
WV
Other
Enumeration date
04/18/2014
Last updated
07/21/2018
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