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NPI Code Detail

MEDICARE: GASTON DANA DO

MEDICARE: GASTON DANA DO
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
1207R00000XInternal Medicine Physician02001432BIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225130610
Entity Type Code : Individual
Provider Name (Legal Business Name) : GASTON DANA DO
Provider Business Mailing Address
First Line : 1155 W JEFFERSON ST STE 202
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-2732
Country : US
Telephone Number : 317-346-3883
Fax Number : 317-346-3141
Provider Business Practice Location Address
First Line : 1155 W JEFFERSON ST STE 202
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-2732
Country : US
Telephone Number : 317-346-3883
Fax Number : 317-346-3141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 04/08/2013

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Directions to “ GASTON DANA DO” Practice Location

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