Individual
DR. RANDAL PAUL BAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 MORGANTON BLVD SW, LENOIR, NC 28645-5677
(828) 757-8240
(828) 757-8241
Mailing address
1031 MORGANTON BLVD SW, LENOIR, NC 28645-5677
(828) 757-8240
(828) 757-8241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9800782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911454
—
NC
Enumeration date
09/14/2006
Last updated
03/18/2021
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