Dr STEPHEN BAST is a male medical professional, specializing in Physician Assistant. He graduated in 1979.
SOUTHERN COLORADO CLINIC PC
3937 IVYWOOD LN
PUEBLO
CO
810052551
Tel: 7195530111
| Npi | 1922001700 |
| Pac Id | 5496971293 |
| Professional Enrollment Id | I20150928000995 |
| Last Name | BAST |
| First Name | STEPHEN |
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| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1979 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | SOUTHERN COLORADO CLINIC PC |
| Group Practice Pac Id | 4284524067 |
| Number Of Group Practice Members | 35 |
| Line 1 Street Address | 3937 IVYWOOD LN |
| Line 2 Street Address | |
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| City | PUEBLO |
| State | CO |
| Zip Code | 810052551 |
| Phone Number | 7195530111 |
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| Professional Accepts Medicare Assignment | Y |
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