William R Bastnagel MD

NPI 1558328161 - Internal Medicine - 207RN0300X

NPI Details
NPI 1558328161
Gender Male
Enumeration Date 04/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1910 NONCONNAH BLVD
SUITE 120
MEMPHIS TN, 38132-2113, US
Phone (901) 448-2300
Fax (901) 448-6657
Business Location
66 N PAULINE ST
SUITE 206
MEMPHIS TN, 38105-5105, US
Phone (901) 448-7642
Fax (901) 448-8015
Toxanomy
Taxonomy Code 207RN0300X
License State Tennessee
License Number 15168
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According to our database, Dr. William R Bastnagel MD NPI is 1558328161, taxonomy code is 207RN0300X and license number is 15168, license state is located at Tennessee. William R Bastnagel MD physically located at 1910 Nonconnah Blvd, Memphis TN, 38132-2113. NPI Number William R Bastnagel MD has the Individual type.

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1558328161 NPI number is provided on an as is basis without warranty of any kind. 1558328161 is maintained by the National Plan & Provider Enumeration System. The contents of William R Bastnagel MD are for informational purposes only.