JEAN BASTA, MD

Orthopaedic Surgery

Active Individual
NPI: 1104811504

Practice Address

2301 HOUSE AVE
SUITE 505
Cheyenne, WY 82001

Phone: (307) 632-9261

Specialties

Specialty Code Primary License
Orthopaedic Surgery 207X00000X Yes 6885A (WY)

Frequently Asked Questions

NPI 1104811504 is the National Provider Identifier for JEAN BASTA, MD, a Orthopaedic Surgery provider located in Cheyenne, WY. This NPI was enumerated on September 13, 2005.
JEAN BASTA, MD practices at 2301 HOUSE AVE, SUITE 505, Cheyenne, WY 82001.

Quick Facts

NPI
1104811504
Type
Individual
Enumerated
Sep 13, 2005
Last Updated
Oct 29, 2007

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