# DANIEL GAITAN HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407487457
- **Authorized official:** DR. DANIEL GAITAN (OWNER)
- **Authorized official phone:** (314) 498-1977

## Contact information

- **Practice address:** 425 N NEW BALLAS RD STE 107, SAINT LOUIS, MO 63141-6845
- **Practice address phone:** (314) 432-2592
- **Practice address fax:** (314) 432-2595
- **Mailing address:** 425 N NEW BALLAS RD STE 107, SAINT LOUIS, MO 63141-6845
- **Mailing address phone:** (314) 432-2592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 03/01/2021