Individual
SAMUEL PATRICK GASTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1504 N 1ST ST, INDIANOLA, IA 50125-3702
(515) 875-9520
(515) 875-9521
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-05957
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2018
Last updated
12/20/2023
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