CRYSTAL H BASTIN

SOUTH CHARLESTON, WV
NPI1962453191
Former NameCRYSTAL LEA HEATHERMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  20368)
Enumeration Date2006-05-12
Last Update Date2022-01-13
Business Address
Dr. CRYSTAL H BASTIN M.D.
4820 KENTUCKY ST
SOUTH CHARLESTON, WV 25309
Phone number: 304-720-0390
Mailing Address
Dr. CRYSTAL H BASTIN M.D.
4605 MACCORKLE AVE SW THS PHYSICIAN PARTNERS, INC. - ADMIN OFC
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-414-4800
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