Gaston I. S. Diallo, Md, Pa

NPI 1417182619 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1417182619
Enumeration Date 05/18/2009
Last Updated 05/18/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GASTON I. S. GASTON
Position GASTROENTEROLOGIST
Phone (913) 682-9030
Fax
Practice Location
113 DELAWARE ST
SUITE E
LEAVENWORTH KS, 66048-2822, US
Phone (913) 682-9030
Fax
Business Location
113 DELAWARE ST
SUITE E
LEAVENWORTH KS, 66048-2822, US
Phone (913) 682-9030
Fax
Toxanomy
Taxonomy Code 282N00000X
License State Kansas
License Number 04-16539
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According to our database, Gaston I. S. Diallo, Md, Pa NPI is 1417182619, taxonomy code is 282N00000X and license number is 04-16539, license state is located at Kansas. Gaston I. S. Diallo, Md, Pa physically located at 113 Delaware St, Leavenworth KS, 66048-2822. NPI Number 1033115704 has the healthcare provider type.

1417182619 NPI number is provided on an as is basis without warranty of any kind. 1417182619 is maintained by the National Plan & Provider Enumeration System. The contents of Gaston I. S. Diallo, Md, Pa are for informational purposes only.