Free National NPI Number Registry
Dr. Paola Reese Bass
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Paola Reese Bass |
| Gender: | F |
| Provider License Number If Given: | 19201 |
NPI Information:
| NPI: | 1821091869 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 4/27/2018 |
Provider Business Mailing Address:
| Address: | 210 WESTSIDE DR Dothan, AL 36303 |
| Phone Number: | 3347935074 |
| Fax Number: | 3347936460 |
Provider Business Practice Location Address:
| Address: | 210 WESTSIDE DR Dothan, AL 36303 |
| Phone Number: | 3347935074 |
| Fax Number: | 3347936460 |
Provider Taxonomy:
| Primary: | 207R00000X |
| Secondary (if any): | |
| State: | AL |
