Individual
EMILY G BASARABESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1031 BELLEVUE AVE, SUITE 300, SAINT LOUIS, MO 63117-1818
(314) 647-9444
(314) 647-7317
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 647-9444
(314) 647-7317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011018208
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01021457
MEDICARE RAILROAD
MO
Enumeration date
07/05/2011
Last updated
01/27/2016
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