Individual
DR. RAYMOND GLENN GASTON
Active
Individual
DR. RAYMOND GLENN GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2007-00236
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2007-00236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490473
ANTHEM
IN
01
—
01061742A
LICENSE
IN
05
—
200852490
—
IN
05
—
5907545
—
NC
Enumeration date
07/26/2006
Last updated
10/17/2011
Update your record
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