Individual
GASTON R DEYSINE
Active
Individual
GASTON R DEYSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00030831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039594
LABOR & INDUSTRY
WA
01
—
1119DE
BLUE SHIELD
WA
05
—
8268732
—
WA
01
—
MD4555W
ALASKA MEDICAID
WA
01
—
US4311896
AETNA/USHC SPECIALIST
WA
Enumeration date
07/14/2006
Last updated
01/26/2015
Update your record
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