Fred W. Gaskin, Mdpc

NPI 1700049517 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1700049517
Enumeration Date 07/02/2008
Last Updated 07/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FRED W FRED
Position PRESIDENT
Phone (314) 205-6744
Fax (314) 576-2393
Practice Location
222 S WOODS MILL RD
SUITE 520 NORTH
CHESTERFIELD MO, 63017-3625, US
Phone (314) 205-6744
Fax (314) 576-2393
Business Location
222 S WOODS MILL RD
SUITE 520 NORTH
CHESTERFIELD MO, 63017-3625, US
Phone (314) 205-6744
Fax (314) 576-2393
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number 34748
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According to our database, Fred W. Gaskin, Mdpc NPI is 1700049517, taxonomy code is 2084P0800X and license number is 34748, license state is located at Missouri. Fred W. Gaskin, Mdpc physically located at 222 S Woods Mill Rd, Chesterfield MO, 63017-3625. NPI Number 1033115704 has the healthcare provider type.

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1700049517 NPI number is provided on an as is basis without warranty of any kind. 1700049517 is maintained by the National Plan & Provider Enumeration System. The contents of Fred W. Gaskin, Mdpc are for informational purposes only.