Individual
DR. WALTER J. GASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-9330
(417) 820-9358
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R4611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200656114
—
MO
Enumeration date
02/05/2007
Last updated
01/04/2012
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