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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN D BAST, PA-C

Active Sole Proprietor

STEPHEN D BAST, PA-C is a Physician Assistant healthcare provider located in PUEBLO, Colorado. NPI 1922001700 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PUEBLO, CO

Registration Details

NPI Number
1922001700
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2005 (21.038686772571 yrs)
Last Updated
Jan 18, 2016
License
PA.0004346 (CO)
Sole Proprietor
Yes

Practice Information

Address
3676 PARKER BLVD
PUEBLO, CO, 810082212
Browse CO providers · Browse ZIP 81008
Phone
7195532208
Fax
7195532223
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PUEBLO, CO

Name Credential NPI
LUCAS R DERTING PA-C 1306846381
TERRY LEE SCHWARTZ PA-C 1255370318
BECKY L KUETER PA 1780629394
WENDY A BULOW PA 1376579540
CHAD R HESS PA 1972531713
JOSEPH A BULOW PA 1669402202
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.