Doctor Name: | MARIA BASS |
NPI Number: | 1003001025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 9499 W Charleston #200 Ossm Las Vegas, NV - 89117 |
Business Phone Number: | 7029333600 |
Business Fax Number: | 7029333601 |
Mailing Address: | 9499 W Charleston, Suite 250 LAS VEGAS |
State: | NV |
Postal Code: | 89117 |
Phone Number: | 7029333600 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 09/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |