Individual
MARK A BASS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 PHILADELPHIA DR, DAYTON, OH 45406-1816
(313) 657-3384
(614) 987-8649
Mailing address
PO BOX 2204, DAYTON, OH 45401-2204
(313) 657-3384
(614) 987-8649
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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