| Richie P Bast Md Incorporated | |
|
110 E. 1st South Saint Johns AZ 85936 | |
| (928) 337-4802 | |
| Not Available |
| Full Name | Richie P Bast Md Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 110 E. 1st South, Saint Johns, Arizona |
| Authorized Official Name and Position | Richie Patterson Bast (OWNER) |
| Authorized Official Contact | 92833734802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richie P Bast Md Incorporated Po Box 2910 Saint Johns AZ 85936-2910 Ph: (928) 337-4802 | Richie P Bast Md Incorporated 110 E. 1st South Saint Johns AZ 85936 Ph: (928) 337-4802 |
| NPI Number | 1568586212 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568586212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AZ14854 (Arizona) | Primary |
Brewer Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 W Cleveland, Suite 6, Saint Johns, AZ 85936 Phone: 928-337-3125 | |
Summit Healthcare Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 N 13th W, Saint Johns, AZ 85936 Phone: 928-337-3000 Fax: 928-532-3561 |