Individual provider · NPI-1

Dr. Noor Alain Bass, DO

Family Medicine · Missoula, MT

NPI number1407233653
StatusActive
Last updated in NPPESApr 19, 2021

Details

NPI
1407233653
Entity type
Individual (NPI-1)
Name
Dr. Noor Alain Bass
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2015
Certification date
Apr 19, 2021
Last updated
Apr 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine66718MTYes

Practice location

1211 S Reserve St Ste 101
Missoula, MT 59801-3103

Phone 406-327-3057 · Fax 406-327-3231

Mailing address

1211 S Reserve St Ste 101
Missoula, MT 59801-3103

Phone 406-327-3057 · Fax 406-327-3231

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