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NPI Code Detail

MEDICARE: MR. GARY N SALES M.D.

MEDICARE: MR. GARY N SALES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35058461SOH

General Provider Information

NPI Number : 1184630261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY N SALES M.D.
Provider Business Mailing Address
First Line : 3000 ERIE ST S
Second Line :
City : MASSILLON
State : OH
Zip : 44646-7976
Country : US
Telephone Number : 330-575-3394
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ERIE ST S
Second Line :
City : MASSILLON
State : OH
Zip : 44646-7976
Country : US
Telephone Number : 330-575-3394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 02/28/2013

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