Whalio Doctors

NPI 1003823956

Craig B. Bass, MD

Practitioner Plastic and Reconstructive Surgery Physician Boise, ID

Practice location

Address
250 Bobwhite CT # 275, Boise, ID 83706-6643
Phone
(208) 333-0200
Fax
(208) 333-0399

Registered specialties

Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence M-4306 (ID)

Registry record

NPI
1003823956
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Aug 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.