Ian R Bastian, MD Valid NPI
Individual provider · Neurology Physician · Fort Liberty, NC
- NPI
- 1932632262
- Type
- Individual (Type 1)
- Primary specialty
- Neurology Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084N0400X
- License number
- 33015 (NE)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-04-04
- Last updated
- 2024-07-03
Practice location
2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001
(910) 907-8460