SearchIdaho207RC0000X

Samual Bass, MD

NPI 1841234747 · on the registry since 2006

Practice

Address
300 E Jefferson
Ste 101
Boise, ID 83712
Phone
(208) 336-4141
Fax
(208) 336-4035

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Also registered as
207RC0000X
Licence states on file
IL, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho