NPI 1134659394

Nathan Paul Bastien, MD

Practitioner General Practice Physician Ft Wainwright, AK

Practice location

Address: 4076 Neely Rd, Ft Wainwright, AK 99703
Phone: (907) 361-5172

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 0101265428 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1134659394
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2017
Record last updated: 30 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.