Individual
PHILIP N BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2222 JAMES ST STE A, BELLINGHAM, WA 98225-4152
(360) 676-4030
(360) 676-4030
Mailing address
2222 JAMES ST STE A, BELLINGHAM, WA 98225-4152
(360) 676-4030
(360) 676-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60293970
WA
152WC0802X
Corneal and Contact Management Optometrist
OD60293970
WA
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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