Individual
DENNIS P BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DRIVE, FAYETTEVILLE, NC 28304-3234
(910) 609-4000
Mailing address
PO BOX 63213, CHARLOTTE, NC 28263-3213
(800) 279-1395
(517) 694-6441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34818
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
045166
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
09725
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
34818
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905517
—
NC
Enumeration date
11/06/2006
Last updated
01/30/2012
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