Individual
DR. ARLAN MARCUS GUSTILO-ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7740 WASHNGTON VLG DR STE 160, CENTERVILLE, OH 45459-4056
(937) 436-9825
(937) 433-6508
Mailing address
7740 WASHINGTON VILLAGE DR STE 160, CENTERVILLE, OH 45459-4056
(937) 436-9825
(937) 433-6508
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
35084685
OH
207VG0400X
Gynecology Physician
35-084685
OH
208800000X
Urology Physician
35-084685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2559315
—
OH
Enumeration date
09/13/2007
Last updated
05/18/2021
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