Organization · Type 2 NPI

Dr. Michael E. Bast

Clinic/Center · Memphis, TN

NPI number 1689790362 Active

Practice location

6706 Winchester Rd
Memphis, TN 38115-4341

Call (901) 363-5088 Map

Fax (901) 363-5134

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XTN0360 (TN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1689790362

Dr. Michael E. Bast's National Provider Identifier is 1689790362, issued on Mar 22, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Memphis, TN. The record was last updated on Nov 20, 2014.