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Individual
DR. JOHN L BASTIEN
Active
Individual
DR. JOHN L BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
041046
GA
207L00000X
Anesthesiology Physician
MD00041128
WA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD00041128
WA
Other
Enumeration date
01/18/2006
Last updated
05/13/2013
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