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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALLISON BROOKE BASTIAN, MD

Active

ALLISON BROOKE BASTIAN, MD is a Family Medicine healthcare provider located in BOISE, Idaho. NPI 1164862058 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1164862058
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2013 (12.990293537677 yrs)
Last Updated
Jan 25, 2017
Licenses
MRM-1333 (ID)
M-12732 (ID)

Practice Information

Address
777 N RAYMOND ST
BOISE, ID, 837049251
Browse ID providers · Browse ZIP 83704
Phone
2085142500
Fax
2083752217
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.