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Organization
PA STAFFING LLC
Active
Organization
PA STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH JASON GRASSINO PA-C (OWNER)
(314) 608-9438
Entity
Organization
Contact information
Practice address
408 BALLWIN AVE, BALLWIN, MO 63021-5213
(314) 608-9438
Mailing address
408 BALLWIN AVE, BALLWIN, MO 63021-5213
(314) 608-9438
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2012008459
MO
363AS0400X
Surgical Physician Assistant
2012008459
MO
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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