STEVEN MERRILL BASTIAN

NAMPA, ID
NPI1669602256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  2932)
Enumeration Date2009-07-17
Last Update Date2016-12-06
Business Address
Mr. STEVEN MERRILL BASTIAN DPT
130 S MIDLAND BLVD
NAMPA, ID 83686-2601
Phone number: 208-461-5057
Mailing Address
Mr. STEVEN MERRILL BASTIAN DPT
1906 FAIRVIEW AVE STE 410
CALDWELL, ID 83605-5407
Phone number: 208-454-9839
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