Individual
ALEC BASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4949 W PINE BLVD APT 3G, APT 3G, SAINT LOUIS, MO 63108-1472
(920) 471-8965
Mailing address
4949 W PINE BLVD APT 3G, SAINT LOUIS, MO 63108-1472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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