Individual
CHASE BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-5000
Mailing address
1701 N GEORGE MASON DR STE 2D, ARLINGTON, VA 22205-3610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
102207800
VA
Other
Enumeration date
07/23/2019
Last updated
06/07/2023
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