Robert L Gaston CRNA

NPI 1639190440 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1639190440
Gender Male
Enumeration Date 07/21/2006
Last Updated 02/06/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 261-3606
Fax (601) 579-5166
Business Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 579-5463
Fax (601) 579-5240
Toxanomy
Taxonomy Code 367500000X
License State Mississippi
License Number R582778
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According to our database, Robert L Gaston CRNA NPI is 1639190440, taxonomy code is 367500000X and license number is R582778, license state is located at Mississippi. Robert L Gaston CRNA physically located at 415 S 28th Ave, Hattiesburg MS, 39401-7246. NPI Number Robert L Gaston CRNA has the Individual type.

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1639190440 NPI number is provided on an as is basis without warranty of any kind. 1639190440 is maintained by the National Plan & Provider Enumeration System. The contents of Robert L Gaston CRNA are for informational purposes only.