MR. Paul Bast

NPI #1245788538 in Tijeras, New Mexico

Provider Information

NPI Number: 1245788538
Entity Type: Individual
Name: MR. Paul Bast
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 30 KINGFISHER LN
City: Tijeras
State: New Mexico
ZIP Code: 87059-7432
Phone: (262) 501-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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