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RICHIE P BAST MD INCORPORATED NPI 1568586212


NPI Information

NPI: 1568586212
Provider Name: RICHIE P BAST MD INCORPORATED
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
110 E. 1ST SOUTH
SAINT JOHNS, AZ
ZIP 85936
Phone: (928) 337-4802
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RICHIE P BAST MD INCORPORATED is a family medicine in Saint Johns, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RICHIE P BAST MD INCORPORATED NPI is 1568586212. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 E. 1ST SOUTH
SAINT JOHNS, AZ
ZIP 85936
Phone: (928) 337-4802

The provider's authorized official is Richie Patterson Bast .
The authorized official title is Owner and has the following contact phone number 92833734802.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineAZ14854ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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