TONY BASTAR

MERIDIAN, ID
NPI1992490254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ID  56825)
Enumeration Date2023-04-11
Last Update Date2023-04-12
Business Address
TONY BASTAR NP
58 W CHRISFIELD DR
MERIDIAN, ID 83646-3255
Phone number: 208-419-5300
Mailing Address
TONY BASTAR NP
58 W CHRISFIELD DR
MERIDIAN, ID 83646-3255
Phone number: 208-419-5300
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