Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 9405690 | KS |
N | 208800000X | Urologist | MD.201359 | LA |
Y | 208800000X | Urologist | MD59818 | TN |
NPI | 1003957952 |
---|---|
Provider Name | Dr. Robert Andrews Bass |
First Address | Murfreesboro, TN 37129-2563 |
Second Address | Murfreesboro, TN 37129-2563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 27/09/2019 |