ZACHARY N BASTIAN

WALTER KNOX MEMORIAL HOSPITAL

Dr ZACHARY N BASTIAN is a male medical professional, specializing in General Surgery. He graduated in 2007 from Georgetown University Of Medicine.

Contact

WALTER KNOX MEMORIAL HOSPITAL

1202 E LOCUST ST
EMMETT
ID
836172715

Tel: 2083653561

ZACHARY N BASTIAN Information

Npi 1447412929
Pac Id 3779734843
Professional Enrollment Id I20140122001861
Last Name BASTIAN
First Name ZACHARY
Middle Name N
Suffix
Gender M
Credential
Medical School Name GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 2007
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WALTER KNOX MEMORIAL HOSPITAL
Group Practice Pac Id 7012907785
Number Of Group Practice Members 6
Line 1 Street Address 1202 E LOCUST ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EMMETT
State ID
Zip Code 836172715
Phone Number 2083653561
Hospital Affiliation Ccn 1 131318
Hospital Affiliation Lbn 1 VALOR HEALTH
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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