STEPHEN D BAST

PUEBLO, CO
NPI1922001700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0004346)
Enumeration Date2005-05-24
Last Update Date2016-01-18
Business Address
-- STEPHEN D BAST PA-C
3676 PARKER BLVD
PUEBLO, CO 81008-2212
Phone number: 719-553-2208
Mailing Address
-- STEPHEN D BAST PA-C
PO BOX 9000
PUEBLO, CO 81008-9000
Phone number: 719-553-2208
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