| Organization Name: | PA STAFFING LLC |
| NPI Number: | 1205232915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH JASON GRASSINO (OWNER) |
| Mailing Address: | 408 Ballwin Ave Ballwin |
| State: | MO US |
| Postal Code: | 630215213 |
| Phone Number: | 3146089438 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2014 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 2012008459 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |