MR. Andrew Clyde Bass, MEDICAL DOCTOR

NPI #1912978693 in Live Oak, Florida

Provider Information

NPI Number: 1912978693
Entity Type: Individual
Name: MR. Andrew Clyde Bass, MEDICAL DOCTOR
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: General Practice
Credential: MEDICAL DOCTOR
Enumeration Date: Jan 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 315 SOUTH SCRIVEN AVE
City: Live Oak
State: Florida
ZIP Code: 32064
Phone: (386) 362-4822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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Organizations

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