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Contact Information

CLAYTON A BASS, MD
5475 S 500 E
OGDEN, UT84405-6905
 Phone: 801-463-7415
 Fax: 801-463-7341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CLAYTON A BASS · (Male)

NPI Number 1972598506
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 07/09/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 045167
  • MS License # 13154
  • UT License # 6068769-1205
  • GA Medicaid 000784924D
  • LA Medicaid 1490261
  • MS Medicaid 06559318
  • GA Other 52755548-002 BCBS
Hospital affiliation(s)
  • DAVIS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    1600 WEST ANTELOPE DRIVE
    LAYTON, UT 84041
  • OGDEN REGIONAL MEDICAL CENTER - (Acute Care)
    5475 SOUTH 500 EAST
    OGDEN, UT 84405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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