NPI 1366869489 · live from the CMS NPI Registry
Devin Bass, MD
Anesthesiology in Joplin, MO. National Provider Identifier 1366869489, active.
NPI record
| NPI | 1366869489 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1102 W 32nd St, Joplin, MO 64804 |
| Practice phone | 417-347-1078 |
| Mailing address | 1707 W 30th St, Joplin, MO 64804 |
| Enumerated | March 26, 2014 |
| Last updated | June 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 2018007989 (MO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.