HomeNPI Verification
NPI Verification
National Provider Identifier: 1639791361
Jameson Bastow, DO
Individual Provider
Credentials
DO
Primary Specialty
Family Medicine
Code: 207Q00000X
Practice Address
777 N RAYMOND ST
BOISE, ID 837049251
Phone: 208-514-2500
NPI Enumeration Date
May 15, 2020
NPI Number
1639791361Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry