The holder whose full name is BISTA, AMAR BAHADUR,come from PHOENIX AZ,hold the Physician license(NO.01049589A) which status is Active.
| Name | BISTA, AMAR BAHADUR |
|---|---|
| License Number | 01049589A |
| License Type | Physician |
| License Status | Active |
| City | PHOENIX |
| State | AZ |