Brandy Hasty

NPI 1205107687 - Physician Assistant - 363A00000X

NPI Details
NPI 1205107687
Gender Female
Enumeration Date 01/18/2012
Last Updated 01/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1225 GRAHAM ROAD
FLORISSANT MO, 63031-8012, US
Phone (314) 953-6000
Fax
Business Location
4 IVAN COURT
FAIRVIEW HEIGHTS IL, 62208-2173, US
Phone (618) 719-9624
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Brandy Hasty NPI is 1205107687, taxonomy code is 363A00000X Brandy Hasty physically located at 1225 Graham Road, Florissant MO, 63031-8012. NPI Number Brandy Hasty has the Individual type.

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1205107687 NPI number is provided on an as is basis without warranty of any kind. 1205107687 is maintained by the National Plan & Provider Enumeration System. The contents of Brandy Hasty are for informational purposes only.