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Crystal Bastin Md Llc
Family Medicine Physician in South Charleston, West Virginia
NPI 1053539387

Crystal Bastin Md Llc is a Family Medicine Physician based in South Charleston, WV. Crystal Bastin Md Llc practices in South Charleston, WV. The NPI Number for Crystal Bastin Md Llc is 1053539387 and holds a License No. 20368 (West Virginia).

The current practice location address for Crystal Bastin Md Llc is 4820 Kentucky St, South Charleston, WV and can be reached out via phone at 304-720-0390.

Location: 4820 Kentucky St, South Charleston, WV, 25309-1364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053539387
Provider Name
Crystal Bastin Md Llc
Credential
Provider Entity Type
Organization
Address
4820 Kentucky St, South Charleston, WV, 25309-1364
Phone Number
304-720-0390
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801865001 05 WV
institution
Provider Business Practice Location Address Details
Address
4820 Kentucky St
City
South Charleston
State
West Virginia
Zip
25309-1310
Phone Number
304-720-0390
Fax Number
person
Provider Business Mailing Address Details
Address
4820 Kentucky St
City
South Charleston
State
West Virginia
Zip
25309-1310
Phone Number
304-720-0390
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20368 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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