Jameson Bastow, DO

NPI #1639791361 in Jerome, Idaho

Provider Information

NPI Number: 1639791361
Entity Type: Individual
Name: Jameson Bastow, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 15, 2020
Last Updated: May 15, 2020

Practice Location

Address: 132 5TH AVE W STE 2
City: Jerome
State: Idaho
ZIP Code: 83338-1825
Phone: (208) 814-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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