CRYSTAL BASTIN MD LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1053539387- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4820 KENTUCKY ST, SOUTH CHARLESTON, WV, 253091310
- Phone
- (304) 720-0390
Specialties & Taxonomies
Family Medicine
Primary License: WV #20368