# GASTON I. S. DIALLO, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gaston I. Saliou-Diallo, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417182619
- **Authorized official:** DR. GASTON I. S. DIALLO M.D. (GASTROENTEROLOGIST)
- **Authorized official phone:** (913) 682-9030

## Contact information

- **Practice address:** 113 DELAWARE ST, SUITE E, LEAVENWORTH, KS 66048-2822
- **Practice address phone:** (913) 682-9030
- **Mailing address:** 113 DELAWARE ST, SUITE E, LEAVENWORTH, KS 66048-2822
- **Mailing address phone:** (913) 682-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 04-16539 | KS | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 05/18/2009