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NPI Code Detail

MEDICARE: DR. ALBERT HENRY GASS JR. AU.D.

MEDICARE: DR. ALBERT HENRY GASS JR. AU.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
1231H00000XAudiologist4731NC

General Provider Information

NPI Number : 1871558593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALBERT HENRY GASS JR. AU.D.
Provider Business Mailing Address
First Line : 8018 TIMBERLAKE DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-2121
Country : US
Telephone Number : 304-733-5267
Fax Number : 304-429-0270
Provider Business Practice Location Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9300
Country : US
Telephone Number : 304-429-6755
Fax Number : 304-429-0270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 10/26/2015

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