Individual
DR. ROBERT D BASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1634
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031776
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285088
LABOR AND INDUSTRY
WA
01
—
MD00031776
LICENSE NUMBER
WA
Enumeration date
05/28/2008
Last updated
10/08/2012
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