Individual
CATHERINE ELIZABETH BASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 GRAVES MILL RD, FOREST, VA 24551-3967
(434) 385-5600
Mailing address
PO BOX 1290, FOREST, VA 24551-1290
(434) 385-5600
(434) 455-7172
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101268706
VA
207W00000X
Ophthalmology Physician
35272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352727
—
SC
01
—
P01134421
RAILROAD MEDICARE
SC
Enumeration date
08/22/2008
Last updated
04/20/2020
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