JACOB BAST

SAINT LOUIS, MO
NPI1194296186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MO  2020005531)
Enumeration Date2018-12-17
Last Update Date2020-03-15
Business Address
JACOB BAST
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1000
Mailing Address
JACOB BAST
6439 FORDYCE BLUFFS DR
SAINT LOUIS, MO 63129-5062
Phone number: 314-933-6577
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