Individual
MR. RICHARD BARRY GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1379 CIBA RD, MCINTOSH, AL 36553
(251) 436-2253
(251) 436-5003
Mailing address
1004 SAVANNAH ST, MOBILE, AL 36604
(251) 436-2253
(251) 436-5003
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-072663
AL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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