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Search › Missouri › 208M00000X

Taylor Bastin

NPI 1205464492 · on the registry since 2020

Practice

Address
3660 Vista Ave
Saint Louis, MO 63110
Phone
(314) 977-6100
Fax
(314) 977-6164
Organisation at this address
St Louis University
St Louis University
Saint Louis University
Saint Louis University
Saint Louis University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
390200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri