KELLY SCOTT BAST

URBANDALE, IA
NPI1861452708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  21562)
Enumeration Date2006-03-24
Last Update Date2007-07-08
Business Address
-- KELLY SCOTT BAST MD
2901 86TH ST
URBANDALE, IA 50322-4201
Phone number: 515-276-3406
Mailing Address
-- KELLY SCOTT BAST MD
2901 86TH ST
URBANDALE, IA 50322-4201
Phone number: 515-276-3406
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