Individual
DR. ZACHARY N BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1024 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-2338
(208) 365-0677
Mailing address
1024 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-2338
(208) 365-0677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12284
ND
208600000X
Surgery Physician
Primary
M-12152
ID
208600000X
Surgery Physician
MD165259
OR
208600000X
Surgery Physician
RL10648
ND
Other
Enumeration date
06/26/2008
Last updated
03/08/2017
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