JEAN D BASTA MD

CHEYENNE ORTHOPAEDICS PC

Dr JEAN D BASTA MD is a female medical professional, specializing in Orthopedic Surgery. She graduated in 1998 from University Of Washington School Of Medicine.

Contact

CHEYENNE ORTHOPAEDICS PC

2301 HOUSE AVE
SUITE 505
CHEYENNE
WY
820013179

Tel: 3076329261

JEAN D BASTA MD Information

Npi 1104811504
Pac Id 5597679365
Professional Enrollment Id I20031117000130
Last Name BASTA
First Name JEAN
Middle Name D
Suffix
Gender F
Credential MD
Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CHEYENNE ORTHOPAEDICS PC
Group Practice Pac Id 0941113229
Number Of Group Practice Members 3
Line 1 Street Address 2301 HOUSE AVE
Line 2 Street Address SUITE 505
Marker Of Address Line 2 Suppression
City CHEYENNE
State WY
Zip Code 820013179
Phone Number 3076329261
Hospital Affiliation Ccn 1 530014
Hospital Affiliation Lbn 1 CHEYENNE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 271332
Hospital Affiliation Lbn 2 GLENDIVE MEDICAL CENTER
Hospital Affiliation Ccn 3 281305
Hospital Affiliation Lbn 3 KIMBALL HEALTH SERVICES
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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