IAN R BASTIAN

TACOMA, WA
NPI1932632262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: NE  33015)
Enumeration Date2017-04-04
Last Update Date2020-11-16
Business Address
Dr. IAN R BASTIAN MD
9040 JACKSON AVE
TACOMA, WA 98431
Phone number: 253-968-1440
Mailing Address
Dr. IAN R BASTIAN MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1440
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