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SANDI MICHELLE BASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
767 MORMON TREK BLVD, IOWA CITY, IA 52246-1812
(319) 384-8822
Mailing address
200 HAWKINS DR, DEPARTMENT OF UICMS, IOWA CITY, IA 52242-1009

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09646
NC
363A00000X
Physician Assistant
Primary
079375
IA

Other

Enumeration date
08/20/2015
Last updated
04/27/2023
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