Individual
DR. SARAH BASTAWROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114, SEATTLE, WA 98108-1532
(312) 450-5258
Mailing address
1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114, SEATTLE, WA 98108-1532
(312) 450-5258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036116267
IL
2085R0202X
Diagnostic Radiology Physician
N2802
TX
2085R0202X
Diagnostic Radiology Physician
Primary
OP60104166
WA
Other
Enumeration date
06/09/2009
Last updated
01/03/2011
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