Individual
MR. JONATHAN D BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-4264
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
363AM0700X
Medical Physician Assistant
OA005134
PA
Other
Enumeration date
08/12/2015
Last updated
10/28/2025
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