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Individual

WILLIAM R BAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 PENN ST, HANOVER, PA 17331-1956
(717) 632-3220
(717) 632-3220
Mailing address
100 PENN ST, HANOVER, PA 17331-1956
(717) 632-3220
(717) 632-3220

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD 015215 E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
158603X9S
MEDICARE PTAN
PA
Enumeration date
06/30/2005
Last updated
06/12/2008
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