THOMAS A. BAST

PRESCOTT, AZ
NPI1760682843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  RN069389)
Enumeration Date2007-07-18
Last Update Date2011-10-10
Business Address
Mr. THOMAS A. BAST FNP
1003 DIVISION STREET SUITE 2
PRESCOTT, AZ 86301
Phone number: 928-717-0724
Mailing Address
Mr. THOMAS A. BAST FNP
1003 DIVISION STREET SUITE 2
PRESCOTT, AZ 86301
Phone number: 928-717-0724
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