MERVAT M BASTA MD

CAPSTONE MEDICAL ARIZONA LLC

Dr MERVAT M BASTA MD is a female medical professional, specializing in Anesthesiology. She graduated in 1981.

Contact

CAPSTONE MEDICAL ARIZONA LLC

5330 S HWY 95
FORT MOHAVE
AZ
864269225

Tel: 8882065902

MERVAT M BASTA MD Information

Npi 1285770115
Pac Id 9133197387
Professional Enrollment Id I20040924000322
Last Name BASTA
First Name MERVAT
Middle Name M
Suffix
Gender F
Credential MD
Medical School Name OTHER
Graduation Year 1981
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CAPSTONE MEDICAL ARIZONA LLC
Group Practice Pac Id 5597081109
Number Of Group Practice Members 7
Line 1 Street Address 5330 S HWY 95
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT MOHAVE
State AZ
Zip Code 864269225
Phone Number 8882065902
Hospital Affiliation Ccn 1 030117
Hospital Affiliation Lbn 1 VALLEY VIEW MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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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