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Individual

HOLLY M BASTIAN

Active
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Individual

HOLLY M BASTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0001699
MT
207RR0500X
Rheumatology Physician
01083639A
IN
207RR0500X
Rheumatology Physician
17322
AL
207RR0500X
Rheumatology Physician
Primary
Q9950
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000042537
HEALTHSPRING
AL
01
000085151
BLUE CROSS
AL
05
000085151
AL
01
660000333
RAILROAD MEDICARE
AL
01
F42171
VIVA
AL
Enumeration date
05/23/2006
Last updated
09/13/2021
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