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Organization

MICHAEL J BASS PLASTIC SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J BASS M.D. (PRESIDENT/MD)
(859) 543-1024
Entity
Organization

Contact information

Practice address
2716 OLD ROSEBUD RD, SUITE 350A, LEXINGTON, KY 40509-8008
(859) 543-1024
Mailing address
2716 OLD ROSEBUD RD, SUITE 350A, LEXINGTON, KY 40509-8008
(859) 543-1024

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
02/27/2009
Last updated
11/19/2015
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