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Nathan Paul Bastien, MD
General Practice Physician in Ft Wainwright, Alaska
NPI 1134659394

Nathan Paul Bastien is a General Practice Physician based in Ft Wainwright, AK. Nathan Paul Bastien practices in Ft Wainwright, AK and has the professional credentials of MD. The NPI Number for Nathan Paul Bastien is 1134659394 and holds a License No. (Alaska).

The current practice location address for Nathan Paul Bastien is 4076 Neely Rd, Ft Wainwright, AK and can be reached out via phone at 907-361-5172.

Location: 4076 Neely Rd, Ft Wainwright, AK, 99703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134659394
Provider Name
Nathan Paul Bastien
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4076 Neely Rd, Ft Wainwright, AK, 99703
Phone Number
907-361-5172
Fax Number
Provider Enumeration Date
06/19/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
4076 Neely Rd
City
Ft Wainwright
State
Alaska
Zip
99703
Phone Number
907-361-5172
Fax Number
person
Provider Business Mailing Address Details
Address
4076 Neely Rd
City
Ft Wainwright
State
Alaska
Zip
99703
Phone Number
907-361-5172
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101265428 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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