Individual
DANE BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 1120, SAINT LOUIS, MO 63117-1211
(314) 617-3001
Mailing address
7305 HAZEL AVE, SAINT LOUIS, MO 63119-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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