Organization
JOHN W. BASS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GERVASE (ADMINISTRATOR)
(602) 485-1010
Entity
Organization
Contact information
Practice address
2398 E CAMELBACK RD STE 980, PHOENIX, AZ 85016-9019
(602) 485-1010
Mailing address
2398 E CAMELBACK RD STE 980, PHOENIX, AZ 85016-9019
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
14161
AZ
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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