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SHANNON MICHELLE ROOT BAST

PHYSICIAN ASSISTANT · FENTON, MO

Provider

NPI
1760946669
Credential
Primary specialty
PHYSICIAN ASSISTANT
Gender
Female
Medical school
OTHER
Graduation year
2020

Practice

Address
1011 BOWLES AVE, FENTON, MO 630262387
Phone
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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