Jonathan Gaston D.O.

NPI 1659639409 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1659639409
Gender Male
Enumeration Date 04/30/2012
Last Updated 04/30/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1 WYOMING ST
WSU DEPT OF SURGERY CHE 7TH FLOOR
DAYTON OH, 45409-2722, US
Phone (937) 208-2485
Fax
Business Location
3024 CURRY ST
EAST LIVERPOOL OH, 43920-1213, US
Phone (614) 323-3624
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jonathan Gaston D.O. NPI is 1659639409, taxonomy code is 390200000X Jonathan Gaston D.O. physically located at 1 Wyoming St, Dayton OH, 45409-2722. NPI Number Jonathan Gaston D.O. has the Individual type.

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1659639409 NPI number is provided on an as is basis without warranty of any kind. 1659639409 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Gaston D.O. are for informational purposes only.