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NPI Verification

National Provider Identifier: 1962453191

Crystal H Bastin, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

4820 KENTUCKY ST

SOUTH CHARLESTON, WV 25309

Phone: 304-720-0390

NPI Enumeration Date

May 12, 2006

NPI Number

1962453191

Data 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
Crystal Bastin, M.d. - NPI 1962453191 | Provider Verification | HormoneMap