Crystal Theresa Bass M.D.

NPI 1851655062 - Pediatrics - 208000000X

NPI Details
NPI 1851655062
Gender Female
Enumeration Date 07/02/2012
Last Updated 06/29/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
600 MOYE BLVD
VIDANT MEDICAL CENTER - NEONATAL PERINATAL MEDICINE
GREENVILLE NC, 27834-4300, US
Phone (252) 744-3945
Fax
Business Location
600 MOYE BLVD
VIDANT MEDICAL CENTER - NEONATAL PERINATAL MEDICINE
GREENVILLE NC, 27834-4300, US
Phone (252) 744-3945
Fax
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 35123877
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According to our database, Dr. Crystal Theresa Bass M.D. NPI is 1851655062, taxonomy code is 208000000X and license number is 35123877, license state is located at Ohio. Crystal Theresa Bass M.D. physically located at 600 Moye Blvd, Greenville NC, 27834-4300. NPI Number Crystal Theresa Bass M.D. has the Individual type.

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1851655062 NPI number is provided on an as is basis without warranty of any kind. 1851655062 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Theresa Bass M.D. are for informational purposes only.