Stephen D Bast in Pueblo - Physician Assistant

Stephen D Bast - NPI 1922001700

Stephen D Bast is a Physician Assistant in Pueblo, Colorado. Stephen D Bast practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephen D Bast is 1922001700. The last update date is 2016-01-18.

Stephen D Bast's current location address is Po Box 9000, Pueblo, Colorado. You can contact this provider via phone number 7195532208 and fax number 7195532223. The mailing address for Stephen D Bast is Po Box 9000, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen D Bast
Address Po Box 9000, Pueblo, Colorado
Phone Number 7195532208
Fax Number 7195532223
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1922001700
Provider Enumeration Date 2005-05-24
Last Updated Date 2016-01-18

Provider Mailing Address Detail

Address Po Box 9000
City Pueblo
State Colorado (CO)
Post Code 8100890000
Phone Number 7195532208
Fax Number 7195532223

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA.0004346
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8431701 CO --

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FAQs about Stephen D Bast

What is the unique 10-digit identifier code assigned to Stephen D Bast by the Centers for Medicare & Medicaid Services?

The Stephen D Bast has been issued the NPI (National Provider Identifier) 1922001700 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Stephen D Bast is located?

The Stephen D Bast is situated at the following address: Po Box 9000, Pueblo, CO, 8100890000.

What is Stephen D Bast's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen D Bast is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did the Stephen D Bast receive its 1922001700?

The Stephen D Bast was issued its 1922001700 on 2005-05-24, which is the date when the organization was assigned this unique identifier.

When was the Stephen D Bast's information last updated?

The Stephen D Bast's information was last updated on 2016-01-18.

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