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MR. RICHARD BARRY GASTON CRNP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1326255803

Individual Registrant:
MR. RICHARD BARRY GASTON CRNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1379 CIBA RD  MCINTOSH, AL 36553 US
Tel: 251-436-2253  Fax: 251-436-5003

Contact information for business:
1004 SAVANNAH ST  MOBILE, AL 36604 US
Tel: 251-436-2253  Fax: 251-436-5003

Registration Information:
NPI: 1326255803
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
AL1-072663

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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