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Individual

DR. JOHN L BASTIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900
(206) 987-8450
(206) 987-8484
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-8450

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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