Individual
DR. JAMES MASON BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7068
(309) 558-7026
Mailing address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7068
(309) 558-7026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105037
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105037
—
IL
05
—
1912979147
—
IL
Enumeration date
02/02/2006
Last updated
01/15/2014
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