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Organization
PA STAFFING
Active
Organization
PA STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GRASSINO DMS (OWNER)
(314) 608-9438
Entity
Organization
Contact information
Practice address
14561 N OUTER 40 RD, CHESTERFIELD, MO 63017-5703
(314) 881-4280
(314) 881-4296
Mailing address
58 VERDANT VIEW MANOR CT, WENTZVILLE, MO 63385-4995
(314) 608-9438
(636) 674-5407
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NULL
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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