Individual
CHRISTOPHER G GASTELUM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1748 VICTOR HUGO LN, LAS VEGAS, NV 89115-8231
(702) 793-8414
Mailing address
1748 VICTOR HUGO LN, LAS VEGAS, NV 89115-8231
(702) 793-8414
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-154
WI
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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