NPI 1215431622

Daniel de Gaston, DO

Practitioner General Practice Physician Tulsa, OK

Practice location

Address: 2345 Southwest Blvd, Tulsa, OK 74107-2705
Phone: (918) 582-1980
Fax: (918) 561-1289

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 6640 (OK)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1215431622
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2018
Record last updated: 19 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.