Shannon Michelle Root Bast, PA
NPI #1760946669 in Bridgeton, Missouri
Provider Information
- NPI Number
- 1760946669
- Entity Type
- Individual
- Name
- Shannon Michelle Root Bast, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 24, 2019
- Last Updated
- Aug 17, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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