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SHANNON MICHELLE ROOT BAST PA

PA

Physician Assistant

NPI: 1760946669IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

2020023147(MO)

Education

OTHER

Class of 2020

Contact & Hours

Via practice · 2 locations total

Address
12266 DE PAUL DR STE 205
BRIDGETON, MO 63044

Quick Facts

NPI
1760946669
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
6

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