person
James Jeffrey Bass, MD
General Practice Physician in Rolla, Missouri
NPI 1336130079

James Jeffrey Bass is a General Practice Physician based in Rolla, MO. James Jeffrey Bass practices in Rolla, MO and has the professional credentials of MD. The NPI Number for James Jeffrey Bass is 1336130079 and holds a License No. R2C49 (Missouri).

The current practice location address for James Jeffrey Bass is 1201 Hauck Dr, Rolla, MO and can be reached out via phone at 573-364-8818 and via fax at 573-368-4422.

Location: 1201 Hauck Dr, Rolla, MO, 65401-4900
person
Provider Profile Details
NPI Number
1336130079
Provider Name
James Jeffrey Bass
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 Hauck Dr, Rolla, MO, 65401-4900
Phone Number
573-364-8818
Fax Number
573-368-4422
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100719 01 MO HEALTHLINK
010066255 01 MO RAILROAD MEDICARE
9476 01 MO BLUE CROSS BLUE SHIELD
201810504 05 MO
26D0446816 01 MO CLIA LABORATORY CERTIFICA
institution
Provider Business Practice Location Address Details
Address
1201 Hauck Dr
City
State
Zip
65401-4900
Phone Number
573-364-8818
Fax Number
573-368-4422
person
Provider Business Mailing Address Details
Address
1201 Hauck Dr
City
State
Zip
65401-4900
Phone Number
573-364-8818
Fax Number
573-368-4422
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
R2C49 (Missouri)
Definition
Definition to come...
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