JEAN DENISE BASTA

CHEYENNE, WY
NPI1104811504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: WY  6885A)
Enumeration Date2005-09-13
Last Update Date2007-10-29
Business Address
-- JEAN DENISE BASTA MD
2301 HOUSE AVE SUITE 505
CHEYENNE, WY 82001-3179
Phone number: 307-632-9261
Mailing Address
-- JEAN DENISE BASTA MD
2301 HOUSE AVE SUITE 505
CHEYENNE, WY 82001-3179
Phone number: 307-632-9261
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