# PA STAFFING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205232915
- **Authorized official:** MR. JOSEPH JASON GRASSINO PA-C (OWNER)
- **Authorized official phone:** (314) 608-9438

## Contact information

- **Practice address:** 408 BALLWIN AVE, BALLWIN, MO 63021-5213
- **Practice address phone:** (314) 608-9438
- **Mailing address:** 408 BALLWIN AVE, BALLWIN, MO 63021-5213
- **Mailing address phone:** (314) 608-9438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | 2012008459 | MO | Yes |
| 363AS0400X | Surgical Physician Assistant | 2012008459 | MO | — |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 11/06/2014