Individual
DANIEL DE GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
(918) 561-1289
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
(918) 561-1289
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6640
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
04/19/2021
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