Individual
DR. DWIGHT R. BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 POWER INN RD STE G, SACRAMENTO, CA 95826-3826
(916) 454-1423
Mailing address
3600 POWER INN RD STE G, SACRAMENTO, CA 95826-3826
(916) 454-1423
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C22433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C22433
—
CA
Enumeration date
02/02/2007
Last updated
07/08/2007
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