SHANNON BAST, PA

PA

Physician Assistant

NPI: 1760946669IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

2020023147(MO)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2020

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Contact & Hours

Via practice · 2 locations total

Address: 12266 DE PAUL DR STE 205
BRIDGETON, MO 63044
Phone: (314) 218-2300

Locations (2)

Practice Location

12266 DE PAUL DR STE 205, BRIDGETON, MO

Practice Location

8918 W 64th Pl Apt 302, Merriam, KS

Quick Facts

NPI: 1760946669
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 6

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