Brett Allen Bastian, PAC
NPI #1043245467 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1043245467
- Entity Type
- Individual
- Name
- Brett Allen Bastian, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jan 30, 2009
Practice Location
- Address
- 1210 W 18TH ST
- Address 2
- STE 104
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57104-4647
- Phone
- (605) 328-8660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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